Provider Demographics
NPI:1942268149
Name:CHUANG, TSU-YI (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:TSU-YI
Middle Name:
Last Name:CHUANG
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 N EL CIELO RD
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-6972
Mailing Address - Country:US
Mailing Address - Phone:760-320-8814
Mailing Address - Fax:760-770-1608
Practice Address - Street 1:69844 HIGHWAY 111
Practice Address - Street 2:SUITE A
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-2849
Practice Address - Country:US
Practice Address - Phone:760-318-4869
Practice Address - Fax:760-770-1608
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC50711207NS0135X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL271689700Medicaid
FL271689700Medicaid