Individual ProviderJessica KuoPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address3020 Childrens Way # Mc5018, San Diego, CA 92123-4223(619) 515-2300(858) 966-7759PECOS EnrollmentBased 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 BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1467085688Provider TypeIndividualFull NameKuo, JessicaCredentialDOGenderFemaleSole ProprietorNoEnumeration Date2/17/2020Last Updated2/13/2025Contact InformationPractice LocationPractice Address3020 Childrens Way # Mc5018, San Diego, CA 92123-4223Phone(619) 515-2300FaxUnlisted FaxMailing LocationMailing Address3020 Childrens Way # Mc5018, San Diego, CA 92123-4223Phone(858) 966-7759FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0804XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense20A21085CaliforniaCode2084P0800XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense20A21085California