Individual
ALICE A KUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE, 12-441 MDCC, LOS ANGELES, CA 90095-3075
(310) 206-3952
(310) 206-0209
Mailing address
10833 LE CONTE AVE, 12-441 MDCC, LOS ANGELES, CA 90095-3075
(310) 315-8900
(310) 315-8902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A63708
CA
208000000X
Pediatrics Physician
Primary
A63708
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A637080
—
CA
01
—
1316056146
MEDI CAL
CA
Enumeration date
08/29/2006
Last updated
02/25/2020
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