Healthcare Provider Details

I. General information

NPI: 1871753699
Provider Name (Legal Business Name): JANET MABEL TSANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2008
Last Update Date: 11/18/2020
Certification Date: 11/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1990 41ST AVE
SAN FRANCISCO CA
94116-1101
US

IV. Provider business mailing address

PO BOX 225
SAN MATEO CA
94401-0225
US

V. Phone/Fax

Practice location:
  • Phone: 650-703-5254
  • Fax: 888-977-2151
Mailing address:
  • Phone: 650-703-5254
  • Fax: 888-977-2151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA109116
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: