MEDICARE: JOSE SIA KUA 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
1	207V00000X	Obstetrics & Gynecology Physician	A30919	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1861495855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE SIA KUA M.D.

Provider Business Mailing Address
First Line	:	9511 MONTANZA WAY
Second Line	:	STE 305
City	:	BUENA PARK
State	:	CA
Zip	:	90620-4263
Country	:	US
Telephone Number	:	714-527-5495
Fax Number	:	714-826-7454

Provider Business Practice Location Address
First Line	:	16415 COLORADO AVE
Second Line	:	STE 305
City	:	PARAMOUNT
State	:	CA
Zip	:	90723-5035
Country	:	US
Telephone Number	:	562-633-5091
Fax Number	:	562-633-7857

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	02/17/2016

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Directions to “ JOSE SIA KUA M.D.” Practice Location

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