Provider Demographics
NPI:1912017211
Name:TSENG, THOMAS MU-REN (DO)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:MU-REN
Last Name:TSENG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:880 S ATLANTIC BLVD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-4700
Mailing Address - Country:US
Mailing Address - Phone:626-289-9478
Mailing Address - Fax:626-289-9718
Practice Address - Street 1:880 S ATLANTIC BLVD
Practice Address - Street 2:SUITE 208
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-4700
Practice Address - Country:US
Practice Address - Phone:626-289-9478
Practice Address - Fax:626-289-9718
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A6968207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine