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NPI Code Detail

MEDICARE: KERUO GUO

MEDICARE: KERUO GUO
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
1101YP2500XProfessional Counselor22767CA
2101YP2500XProfessional CounselorPC017200PA

General Provider Information

NPI Number : 1508698259
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERUO GUO
Provider Business Mailing Address
First Line : 885 N SAN ANTONIO RD STE O
Second Line :
City : LOS ALTOS
State : CA
Zip : 94022-1341
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 885 N SAN ANTONIO RD STE O
Second Line :
City : LOS ALTOS
State : CA
Zip : 94022-1341
Country : US
Telephone Number : 650-434-2563
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2024
Last Update Date : 05/27/2026

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Directions to “ KERUO GUO ” Practice Location

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