Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A144320 | CA |
NPI | 1033593744 |
---|---|
Provider Name | Michael Kuo |
First Address | Fullerton, CA 92835-3816 |
Second Address | Fullerton, CA 92835-3816 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2015 |
Last Update Date | 05/11/2021 |