Provider Demographics
NPI:1679192934
Name:TONG, TSZ MAN (DO)
Entity Type:Individual
Prefix:DR
First Name:TSZ MAN
Middle Name:
Last Name:TONG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19333 BEAR VALLEY RD STE 205
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92308-5150
Mailing Address - Country:US
Mailing Address - Phone:760-241-6666
Mailing Address - Fax:
Practice Address - Street 1:19333 BEAR VALLEY RD STE 205
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92308-5150
Practice Address - Country:US
Practice Address - Phone:760-241-6666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-15
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A21538207Q00000X
AZR3344207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine