Provider Demographics
NPI:1477508869
Name:TSE, PEGGY P (MD)
Entity Type:Individual
Prefix:DR
First Name:PEGGY
Middle Name:P
Last Name:TSE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:16300 SAND CANYON AVE
Mailing Address - Street 2:SUITE 811
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3711
Mailing Address - Country:US
Mailing Address - Phone:949-753-9000
Mailing Address - Fax:949-753-5044
Practice Address - Street 1:16300 SAND CANYON AVE
Practice Address - Street 2:SUITE 811
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3711
Practice Address - Country:US
Practice Address - Phone:949-753-9000
Practice Address - Fax:949-753-5044
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2017-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG078170208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics