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NPI Code Detail

MEDICARE: JOSE S. KUA M.D. FACOG INC.

MEDICARE: JOSE S. KUA M.D. FACOG INC.
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
1207V00000XObstetrics & Gynecology Physician

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 : 1376712844
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSE S. KUA M.D. FACOG INC.
Provider Business Mailing Address
First Line : 16415 COLORADO AVE STE 305
Second Line :
City : PARAMOUNT
State : CA
Zip : 90723-5053
Country : US
Telephone Number : 562-633-5091
Fax Number : 562-633-7857
Provider Business Practice Location Address
First Line : 16415 COLORADO AVE STE 305
Second Line :
City : PARAMOUNT
State : CA
Zip : 90723-5053
Country : US
Telephone Number : 562-633-5091
Fax Number : 562-633-7857
Authorized Official
Title or Position : PRESIDENT
Name : JOSE SIA KUA
Credential : M.D.
Telephone Number : 562-633-5091
Provider Enumeration Date : 02/28/2008
Last Update Date : 03/05/2008

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