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Selena Zhao Kuo

Internal Medicine

Allopathic & Osteopathic Physicians

9350 Campus Point Dr, La Jolla, CA 92037-1300

PECOS Enrollment

This provider is enrolled in PECOS as SELENA KUO.

Based on the most recent information from CMS, provider Selena Zhao Kuo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1174029821
Provider Type
Individual
Full Name
Kuo, Selena Zhao
Gender
Female

Sole Proprietor
No
Enumeration Date
4/2/2018
Last Updated
7/10/2024

Contact Information

Practice Location

9350 Campus Point Dr, La Jolla, CA 92037-1300

(800) 926-8273

Unlisted Fax

Mailing Location

File 57326, Los Angeles, CA 90074-0001

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RG0100X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A174239 California
Code 207RI0008X	Description Internal Medicine Allopathic & Osteopathic Physicians	License A174239 California

Selena Zhao Kuo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Mansour, Ahmad Masood

Thiruvengadam, Sushrut Sujan

Cohen-Lyons, Phillip Daniel

Kwong, Wilson T

Carethers, John M.

Frenette, Catherine Therese

Hermes, Joy-Marie Jasmine

Kuldau, John G.

Sinh, Preetika

La Jolla Gi Hospitalists, Inc.