Provider Demographics
NPI:1801999107
Name:TSOU, ROBERT MENG-WU (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MENG-WU
Last Name:TSOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:15963 QUANTICO RD STE B
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-0840
Mailing Address - Country:US
Mailing Address - Phone:760-242-8100
Mailing Address - Fax:760-824-4234
Practice Address - Street 1:15963 QUANTICO RD
Practice Address - Street 2:SUITE B
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-1301
Practice Address - Country:US
Practice Address - Phone:760-242-8100
Practice Address - Fax:760-242-2932
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC41287207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC41287OtherSTATE MEDICAL LICENSE
CAC41287OtherSTATE MEDICAL LICENSE
00C412870Medicare ID - Type Unspecified