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Jessica Kuo

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

3020 Childrens Way # Mc5018, San Diego, CA 92123-4223

PECOS Enrollment

Based on the most recent information from CMS, provider Jessica 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 11 days ago.

Profile Details

Provider ID
1467085688
Provider Type
Individual
Full Name
Kuo, Jessica
Credential
DO

Gender
Female
Sole Proprietor
No
Enumeration Date
2/17/2020
Last Updated
8/21/2025

Contact Information

Practice Location

3020 Childrens Way # Mc5018, San Diego, CA 92123-4223

(619) 515-2300

Unlisted Fax

Mailing Location

3020 Childrens Way # Mc5018, San Diego, CA 92123-4223

(858) 966-7759

(619) 326-3950

Provider Taxonomies

Code	Description	License
Code 2084P0804X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 20A21085 California
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 20A21085 California

Jessica Kuo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Bahadur, Neha

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Heyneman, Ellen K

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