Provider Demographics
NPI:1831924224
Name:ANGELICA KUO CHIROPRACTIC INC.
Entity type:Organization
Organization Name:ANGELICA KUO CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:626-869-9468
Mailing Address - Street 1:330 S GARFIELD AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-3893
Mailing Address - Country:US
Mailing Address - Phone:626-869-9468
Mailing Address - Fax:
Practice Address - Street 1:330 S GARFIELD AVE STE 208
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3893
Practice Address - Country:US
Practice Address - Phone:626-869-9468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty