Provider Demographics
NPI:1134211394
Name:TZENG, MIIN HSIUNG (MD)
Entity type:Individual
Prefix:
First Name:MIIN
Middle Name:HSIUNG
Last Name:TZENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23823 VALENCIA BLVD
Mailing Address - Street 2:STE 140
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-9516
Mailing Address - Country:US
Mailing Address - Phone:661-290-3337
Mailing Address - Fax:661-290-3337
Practice Address - Street 1:23823 VALENCIA BLVD
Practice Address - Street 2:STE 140
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-9516
Practice Address - Country:US
Practice Address - Phone:661-290-3337
Practice Address - Fax:661-290-3337
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33598207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOOA335980Medicaid
CAOOA335980Medicaid
E51994Medicare UPIN