Healthcare Provider Details

I. General information

NPI: 1225062060
Provider Name (Legal Business Name): JOHN JONE-JIUN TZENG M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 11/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

736 S GARFIELD AVE SUITE B
ALHAMBRA CA
91801-4437
US

IV. Provider business mailing address

736 S GARFIELD AVE SUITE B
ALHAMBRA CA
91801-4437
US

V. Phone/Fax

Practice location:
  • Phone: 626-281-0501
  • Fax: 626-281-2945
Mailing address:
  • Phone: 626-281-0501
  • Fax: 626-281-2945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA53439
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: