Healthcare Provider Details

I. General information

NPI: 1720782097
Provider Name (Legal Business Name): DAVID TENG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24953 PASEO DE VALENCIA BUILDING B, UNIT 24B
LAGUNA HILLS CA
92653
US

IV. Provider business mailing address

24953 PASEO DE VALENCIA BUILDING B, UNIT 24B
LAGUNA HILLS CA
92653
US

V. Phone/Fax

Practice location:
  • Phone: 949-799-4786
  • Fax:
Mailing address:
  • Phone: 949-799-4786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA207102
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: