Healthcare Provider Details

I. General information

NPI: 1982885117
Provider Name (Legal Business Name): MIIN-HSIUNG TZENG, M.D., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2007
Last Update Date: 11/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25880 TOURNAMENT RD SUITE 110
VALENCIA CA
91355-2349
US

IV. Provider business mailing address

25880 TOURNAMENT RD SUITE 110
VALENCIA CA
91355-2349
US

V. Phone/Fax

Practice location:
  • Phone: 661-254-1075
  • Fax: 661-254-7768
Mailing address:
  • Phone: 661-254-1075
  • Fax: 661-254-7768

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: DR. MIIN-HSIUNG TZENG
Title or Position: OWNER/PRESIDENT
Credential: M.D.
Phone: 661-254-1075