Provider Demographics
NPI:1043370505
Name:TSANG, VICTOR WH (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:WH
Last Name:TSANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2395 MONTPELIER DRIVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116
Mailing Address - Country:US
Mailing Address - Phone:408-227-2550
Mailing Address - Fax:
Practice Address - Street 1:2395 MONTPELIER DRIVE
Practice Address - Street 2:SUITE 5
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116
Practice Address - Country:US
Practice Address - Phone:408-227-2550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG11708208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G117080Medicaid
CA00G117080Medicaid
A38427Medicare UPIN
00G117080Medicare ID - Type Unspecified