Individual provider Active NPI

Myrna Iee-Hsin Kuo, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1588831309
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14712 Issued in HI
Practice address
1427 Camden Ave Unit 102
Los Angeles, CA 90025-8033
Phone
(808) 523-1600
Fax
(808) 526-0221
NPI assigned
May 12, 2008
Last updated
Dec 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14712 HI Primary

Addresses

Primary practice location

1427 Camden Ave Unit 102
Los Angeles, CA 90025-8033

Mailing address

1427 Camden Ave Apt Unit102
Los Angeles, CA 90025-8033
Phone (808) 523-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090402000537 HI Practitioner - Internal Medicine 8022165372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Hawaii John a. Burns School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Clinic IncGroup PAC ID 8921998808, 7 clinicians

Practice addresses (Care Compare)

1329 Lusitana St
Suite 202
Honolulu, HI 96813-2401
Phone (808) 523-1600

414 Uluniu St
Kailua, HI 96734-2517
Phone (808) 261-8345

98 -1079 Moanalua Rd
Suite 620
Aiea, HI 96701-4716
Phone (808) 384-8447

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14712HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic, Inc. Internal Medicine CurrentSince Sep 8, 2008 Accepting new patients

Locations

98-211 Pali Momi St
Ste 830
Aiea, HI 96701
Phone (808) 487-5527

1329 Lusitana St
Ste 202
Honolulu, HI 96813
Phone (808) 526-0884

1329 Lusitana St
Ste 602
Honolulu, HI 96813
Phone (808) 522-5055

414 Uluniu St
Kailua, HI 96734
Phone (808) 261-8345

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1588831309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 CAMDEN AVE APT UNIT102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900258033",
            "telephone_number": "808-523-1600",
            "fax_number": "808-526-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 CAMDEN AVE UNIT 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900258033",
            "telephone_number": "808-523-1600",
            "fax_number": "808-526-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "MYRNA",
        "middle_name": "IEE-HSIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "14712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.