Provider Demographics
NPI:1023704673
Name:KUO, HSIANG CHUN (LAC)
Entity type:Individual
Prefix:MS
First Name:HSIANG
Middle Name:CHUN
Last Name:KUO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2236 SMOKE TREE LN
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91762-6163
Mailing Address - Country:US
Mailing Address - Phone:909-226-8799
Mailing Address - Fax:
Practice Address - Street 1:2236 SMOKE TREE LN
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91762-6163
Practice Address - Country:US
Practice Address - Phone:909-226-8799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7520171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist