Healthcare Provider Details

I. General information

NPI: 1568383958
Provider Name (Legal Business Name): TZE HUNG TYAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 N GARFIELD AVE STE 202
MONTEREY PARK CA
91754-1206
US

IV. Provider business mailing address

420 N GARFIELD AVE STE 202
MONTEREY PARK CA
91754-1206
US

V. Phone/Fax

Practice location:
  • Phone: 626-572-3688
  • Fax: 626-572-2688
Mailing address:
  • Phone: 626-572-3688
  • Fax: 626-572-2688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC13054
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: