Provider Demographics
NPI:1053668574
Name:CUI, GUANG GE (ACUPUNCTURIST)
Entity type:Individual
Prefix:MR
First Name:GUANG GE
Middle Name:
Last Name:CUI
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14650 PARTHENIA ST
Mailing Address - Street 2:#N-4
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-2917
Mailing Address - Country:US
Mailing Address - Phone:213-605-0607
Mailing Address - Fax:
Practice Address - Street 1:14650 PARTHENIA ST
Practice Address - Street 2:#N-4
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-2917
Practice Address - Country:US
Practice Address - Phone:213-605-0607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13522171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist