Basic Information
| Provider Information | |||||||||
| NPI: | 1801002175 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TSENG | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | DAVID | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5800 HOLLIS ST | ||||||||
| Address2: | |||||||||
| City: | EMERYVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946082016 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5108062100 | ||||||||
| FaxNumber: | 8555743055 | ||||||||
| Practice Location | |||||||||
| Address1: | 5800 HOLLIS ST | ||||||||
| Address2: | |||||||||
| City: | EMERYVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946082016 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5108062100 | ||||||||
| FaxNumber: | 8555743055 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/15/2007 | ||||||||
| LastUpdateDate: | 08/15/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | A107811 | CA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207XS0117X | A107811 | CA | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Orthopaedic Surgery of the Spine |
No ID Information.