Provider Demographics
NPI:1538879630
Name:CHI, SHENG TSUNG
Entity type:Individual
Prefix:MR
First Name:SHENG TSUNG
Middle Name:
Last Name:CHI
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:JIMMY
Other - Middle Name:
Other - Last Name:CHI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2033 GATEWAY PL STE 562
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95110-3712
Mailing Address - Country:US
Mailing Address - Phone:669-205-1778
Mailing Address - Fax:855-568-2494
Practice Address - Street 1:2033 GATEWAY PL STE 562
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95110-3712
Practice Address - Country:US
Practice Address - Phone:669-205-1778
Practice Address - Fax:855-568-2494
Is Sole Proprietor?:No
Enumeration Date:2022-11-29
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician