Provider Demographics
NPI:1619172897
Name:TSENG, VICTOR WEI (LAC)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:WEI
Last Name:TSENG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1817 RIO DE ORO DR
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91791-3952
Mailing Address - Country:US
Mailing Address - Phone:626-251-5430
Mailing Address - Fax:
Practice Address - Street 1:1817 RIO DE ORO DR
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91791-3952
Practice Address - Country:US
Practice Address - Phone:626-251-5430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6022171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist