Provider Demographics
NPI:1265759807
Name:TSENG, JILL (MD)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:TSENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:333 CITY BLVD W STE 1400
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-5900
Mailing Address - Country:US
Mailing Address - Phone:714-456-8020
Mailing Address - Fax:714-456-6632
Practice Address - Street 1:101 THE CITY DRIVE SOUTH
Practice Address - Street 2:PAV III, BLDG 29, SUITE 501
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-5900
Practice Address - Country:US
Practice Address - Phone:714-456-8000
Practice Address - Fax:714-456-8055
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-21
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA156171207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Single Specialty