Healthcare Provider Details

I. General information

NPI: 1609162890
Provider Name (Legal Business Name): JOYCE C.J. KUO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2011
Last Update Date: 06/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 CALLE DEL PRADO
MILPITAS CA
95035-4520
US

IV. Provider business mailing address

613 CALLE DEL PRADO
MILPITAS CA
95035-4520
US

V. Phone/Fax

Practice location:
  • Phone: 408-888-6269
  • Fax:
Mailing address:
  • Phone: 408-888-6269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: