Organization
JEFFREY TSENG, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY TSENG M.D. (PRESIDENT)
(805) 338-2616
Entity
Organization
Contact information
Practice address
2220 LYNN RD, SUITE 109, THOUSAND OAKS, CA 91360-1904
(805) 496-8103
(805) 496-9661
Mailing address
2220 LYNN RD, SUITE 109, THOUSAND OAKS, CA 91360-1904
(805) 496-8103
(805) 496-9661
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A101924
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ469A
MEDICARE NUMBER
CA
Enumeration date
05/11/2012
Last updated
12/17/2012
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