Provider Demographics
NPI:1093730491
Name:TSE, KA-LOK E (MD)
Entity Type:Individual
Prefix:DR
First Name:KA-LOK
Middle Name:E
Last Name:TSE
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 1:808 S FAIR OAKS AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-2601
Mailing Address - Country:US
Mailing Address - Phone:626-577-1675
Mailing Address - Fax:626-577-9115
Practice Address - Street 1:808 S FAIR OAKS AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-2601
Practice Address - Country:US
Practice Address - Phone:626-577-1675
Practice Address - Fax:626-577-9115
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG74931Medicaid
CAG74931Medicaid
F58876Medicare UPIN