Provider Demographics
NPI:1497855159
Name:TSANG, MING LI (MD)
Entity Type:Individual
Prefix:
First Name:MING
Middle Name:LI
Last Name:TSANG
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 1:909 HYDE ST.
Mailing Address - Street 2:STE #432
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109
Mailing Address - Country:US
Mailing Address - Phone:415-474-2162
Mailing Address - Fax:415-474-2556
Practice Address - Street 1:909 HYDE ST.
Practice Address - Street 2:STE #432
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109
Practice Address - Country:US
Practice Address - Phone:415-474-2162
Practice Address - Fax:415-474-2556
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-23
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA96539207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A965391Medicare PIN
I64628Medicare UPIN