Healthcare Provider Details

I. General information

NPI: 1790281715
Provider Name (Legal Business Name): TSUNG-YUN TZENG DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: TSUNG YUN TZENG

II. Dates (important events)

Enumeration Date: 03/30/2018
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 CALIFORNIA ST STE 103
SAN FRANCISCO CA
94115-2754
US

IV. Provider business mailing address

PO BOX 276950
SACRAMENTO CA
95827-6950
US

V. Phone/Fax

Practice location:
  • Phone: 415-600-3503
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO3188
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A21557
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberOP61337795
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: