Provider Demographics
NPI:1285657353
Name:TSE, WINSON (DC)
Entity Type:Individual
Prefix:
First Name:WINSON
Middle Name:
Last Name:TSE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 E MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-3956
Mailing Address - Country:US
Mailing Address - Phone:626-573-5329
Mailing Address - Fax:626-569-9513
Practice Address - Street 1:807 E MARSHALL ST
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-3956
Practice Address - Country:US
Practice Address - Phone:626-573-5329
Practice Address - Fax:626-569-9513
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-27370111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor