Basic Information
Provider Information
NPI: 1417071242
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TSENG
FirstName: WILLIAM
MiddleName: W.
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 512185
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900510185
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 301 W HUNTINGTON DR STE 400
Address2:  
City: ARCADIA
State: CA
PostalCode: 910073471
CountryCode: US
TelephoneNumber: 6262189840
FaxNumber: 6262189860
Other Information
ProviderEnumerationDate: 03/19/2007
LastUpdateDate: 06/08/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/08/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XA94446CAN Allopathic & Osteopathic PhysiciansSurgery 
2086X0206XA94446CAY Allopathic & Osteopathic PhysiciansSurgerySurgical Oncology

No ID Information.


Home