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NPI Code Detail

MEDICARE: KUO H. CHAO M.D.

MEDICARE: KUO H. CHAO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician225792NY
22085R0204XVascular & Interventional Radiology PhysicianA60828CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164450433
Entity Type Code : Individual
Provider Name (Legal Business Name) : KUO H. CHAO M.D.
Provider Business Mailing Address
First Line : 4867 W SUNSET BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-5969
Country : US
Telephone Number : 323-783-3098
Fax Number :
Provider Business Practice Location Address
First Line : 4867 W SUNSET BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-5969
Country : US
Telephone Number : 323-783-3098
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 11/29/2021

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Directions to “ KUO H. CHAO M.D.” Practice Location

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