Provider Demographics
NPI:1043315104
Name:TSO, SIEW LOONG (MD)
Entity Type:Individual
Prefix:DR
First Name:SIEW
Middle Name:LOONG
Last Name:TSO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:728 PACIFIC AVE
Mailing Address - Street 2:SUITE 507
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-4457
Mailing Address - Country:US
Mailing Address - Phone:415-398-6728
Mailing Address - Fax:415-398-6783
Practice Address - Street 1:728 PACIFIC AVE
Practice Address - Street 2:SUITE 507
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133-4457
Practice Address - Country:US
Practice Address - Phone:415-398-6728
Practice Address - Fax:415-398-6783
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA35108207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA35108OtherSTATE LICENSE