Provider Demographics
NPI:1922899079
Name:TSE, QUINN R (DACCHM)
Entity type:Individual
Prefix:
First Name:QUINN
Middle Name:R
Last Name:TSE
Suffix:
Gender:F
Credentials:DACCHM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 PALMYRA DR
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084-7807
Mailing Address - Country:US
Mailing Address - Phone:510-612-1169
Mailing Address - Fax:
Practice Address - Street 1:3146 TIGER RUN CT STE 119
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92010-6503
Practice Address - Country:US
Practice Address - Phone:510-612-1169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC20336171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist