Provider Demographics
NPI:1801123120
Name:TSENG, ROBERT S
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:S
Last Name:TSENG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ROBERT
Other - Middle Name:SHIH CHAN
Other - Last Name:TSENG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:20709 GOLDEN SPRINGS DRIVE
Mailing Address - Street 2:SUITE #105
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789
Mailing Address - Country:US
Mailing Address - Phone:626-337-8877
Mailing Address - Fax:626-333-7727
Practice Address - Street 1:20709 GOLDEN SPRINGS DRIVE
Practice Address - Street 2:SUITE #105
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789
Practice Address - Country:US
Practice Address - Phone:626-337-8877
Practice Address - Fax:626-333-7727
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-06
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31407111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
1154988129Other1154988129