Healthcare Provider Details

I. General information

NPI: 1134211394
Provider Name (Legal Business Name): MIIN HSIUNG TZENG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 06/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23823 VALENCIA BLVD STE 140
VALENCIA CA
91355-9516
US

IV. Provider business mailing address

23823 VALENCIA BLVD STE 140
VALENCIA CA
91355-9516
US

V. Phone/Fax

Practice location:
  • Phone: 661-290-3337
  • Fax: 661-290-3337
Mailing address:
  • Phone: 661-290-3337
  • Fax: 661-290-3337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA33598
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: