Provider Demographics
NPI:1457431348
Name:TSE, FRANKLIN MUNG (PA-C)
Entity Type:Individual
Prefix:MR
First Name:FRANKLIN
Middle Name:MUNG
Last Name:TSE
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1675 N PERRIS BLVD
Mailing Address - Street 2:
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92571-4726
Mailing Address - Country:US
Mailing Address - Phone:951-956-2400
Mailing Address - Fax:951-956-2345
Practice Address - Street 1:1675 N PERRIS BLVD
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92571-4726
Practice Address - Country:US
Practice Address - Phone:951-956-2400
Practice Address - Fax:951-956-2345
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2022-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA17998363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAM VLY EFF: 2/20/13Medicaid
CAEFF:4/8/13 RIALTOMedicaid
CAP01288533/ DU4034OtherRAILROAD MEDICARE- MORENO VALLEY
CAP01288533/ DU5182OtherRAILROAD MEDICARE- COLTON, VICTORVILLE
CAEFF: 2/20/13 RIVERSIMedicaid
CAEFF:4/8/13 RIALTOMedicaid
CAEFF 04/25/13 FONTANAMedicaid
CAEFF.10/21/13-COLTONMedicaid
CAEFF: 4/8/13 SANBERNAMedicaid
CAP01288533/ DU5182OtherRAILROAD MEDICARE- COLTON, VICTORVILLE
CAEFF: 4/8/13 SANBERNAMedicaid
CAM VLY EFF: 2/20/13Medicaid