Individual
DR. JOSEPH K KU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4234 RIVERWALK PKWY STE 170, RIVERSIDE, CA 92505-3390
(951) 509-9204
(951) 509-9206
Mailing address
4234 RIVERWALK PKWY STE 170, RIVERSIDE, CA 92505-3390
(951) 509-9204
(951) 509-9206
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5941363-1205
UT
208600000X
Surgery Physician
A77679
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A77679
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265610737
ORGANIZATION NPI
—
05
—
2375538
—
CA
Enumeration date
04/06/2007
Last updated
02/21/2020
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