Provider Demographics
NPI:1700390911
Name:TSENG, KUO-SEN (LAC)
Entity Type:Individual
Prefix:
First Name:KUO-SEN
Middle Name:
Last Name:TSENG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:SAM
Other - Middle Name:
Other - Last Name:TSENG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:9711 VILLAGE CENTER DR STE 110
Mailing Address - Street 2:
Mailing Address - City:GRANITE BAY
Mailing Address - State:CA
Mailing Address - Zip Code:95746-6493
Mailing Address - Country:US
Mailing Address - Phone:916-906-0056
Mailing Address - Fax:916-872-1063
Practice Address - Street 1:9711 VILLAGE CENTER DR STE 110
Practice Address - Street 2:
Practice Address - City:GRANITE BAY
Practice Address - State:CA
Practice Address - Zip Code:95746-6493
Practice Address - Country:US
Practice Address - Phone:916-906-0056
Practice Address - Fax:916-872-1063
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-27
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17860171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist