Provider Demographics
NPI:1780267997
Name:TONY K. TSENG MD INC
Entity type:Organization
Organization Name:TONY K. TSENG MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:KAY CHUNG
Authorized Official - Last Name:TSENG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-763-1300
Mailing Address - Street 1:3224 SANTA ANA ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH GATE
Mailing Address - State:CA
Mailing Address - Zip Code:90280-2306
Mailing Address - Country:US
Mailing Address - Phone:323-763-1300
Mailing Address - Fax:
Practice Address - Street 1:3224 SANTA ANA ST
Practice Address - Street 2:
Practice Address - City:SOUTH GATE
Practice Address - State:CA
Practice Address - Zip Code:90280-2306
Practice Address - Country:US
Practice Address - Phone:323-763-1300
Practice Address - Fax:323-763-1320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care