Provider Demographics
NPI:1982885117
Name:MIIN-HSIUNG TZENG, M.D., INC
Entity Type:Organization
Organization Name:MIIN-HSIUNG TZENG, M.D., INC
Other - Org Name:TZENG AND CHEN, M.D., INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MIIN-HSIUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:TZENG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-254-1075
Mailing Address - Street 1:25880 TOURNAMENT RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2349
Mailing Address - Country:US
Mailing Address - Phone:661-254-1075
Mailing Address - Fax:661-254-7768
Practice Address - Street 1:25880 TOURNAMENT RD
Practice Address - Street 2:SUITE 110
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2349
Practice Address - Country:US
Practice Address - Phone:661-254-1075
Practice Address - Fax:661-254-7768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33598207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A335980Medicaid
CA00A335980Medicaid
E51994Medicare UPIN