Provider Demographics
NPI:1861495855
Name:KUA, JOSE SIA (MD)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:SIA
Last Name:KUA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9511 MONTANZA WAY
Mailing Address - Street 2:STE 305
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-4263
Mailing Address - Country:US
Mailing Address - Phone:714-527-5495
Mailing Address - Fax:714-826-7454
Practice Address - Street 1:16415 COLORADO AVE
Practice Address - Street 2:STE 305
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-5035
Practice Address - Country:US
Practice Address - Phone:562-633-5091
Practice Address - Fax:562-633-7857
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2016-02-17
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Provider Licenses
StateLicense IDTaxonomies
CAA30919207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A309190Medicaid
A84148Medicare UPIN