Provider Demographics
NPI:1225062060
Name:TZENG, JOHN JONE-JIUN (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JONE-JIUN
Last Name:TZENG
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:736 S GARFIELD AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-4437
Mailing Address - Country:US
Mailing Address - Phone:626-281-0501
Mailing Address - Fax:626-281-2945
Practice Address - Street 1:736 S GARFIELD AVE
Practice Address - Street 2:SUITE B
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-4437
Practice Address - Country:US
Practice Address - Phone:626-281-0501
Practice Address - Fax:626-281-2945
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA53439207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A534390Medicaid
CA00A534390Medicaid
CAG90106Medicare UPIN