Provider Demographics
NPI:1215375456
Name:TSANG, HARRISON (OD)
Entity Type:Individual
Prefix:DR
First Name:HARRISON
Middle Name:
Last Name:TSANG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27916 SECO CANYON RD STE 204
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-3853
Mailing Address - Country:US
Mailing Address - Phone:707-280-2754
Mailing Address - Fax:
Practice Address - Street 1:27916 SECO CANYON RD STE 204
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91350-3853
Practice Address - Country:US
Practice Address - Phone:661-261-9212
Practice Address - Fax:661-261-9131
Is Sole Proprietor?:No
Enumeration Date:2013-06-10
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14610152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist