Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | A107462 | CA |
Y | 207RP1001X | Pulmonary Disease | A107462 | CA |
NPI | 1053505636 |
---|---|
Provider Name | Minggen Kuo |
First Address | Los Angeles, CA 90051-7810 |
Second Address | Whittier, CA 90602-1048 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2007 |
Last Update Date | 10/11/2021 |