Healthcare Provider Details

I. General information

NPI: 1003151085
Provider Name (Legal Business Name): ANNE KUO D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2012
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

572 E GREEN ST STE 300
PASADENA CA
91101-2079
US

IV. Provider business mailing address

572 E GREEN ST STE 300
PASADENA CA
91101-2079
US

V. Phone/Fax

Practice location:
  • Phone: 818-957-6909
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A12571
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: