Healthcare Provider Details

I. General information

NPI: 1720715253
Provider Name (Legal Business Name): KUO CHIROPRACTIC HEALTH GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2022
Last Update Date: 08/04/2022
Certification Date: 08/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2098 WALSH AVE STE B
SANTA CLARA CA
95050-2544
US

IV. Provider business mailing address

2098 WALSH AVE STE B
SANTA CLARA CA
95050-2544
US

V. Phone/Fax

Practice location:
  • Phone: 408-753-0935
  • Fax: 669-235-8797
Mailing address:
  • Phone: 408-753-0935
  • Fax: 669-235-8797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. YEN-CHEN KUO
Title or Position: PRESIDENT
Credential:
Phone: 408-753-0935