Provider Demographics
NPI:1952085631
Name:TSANG, HO LAM (LAC)
Entity type:Individual
Prefix:MR
First Name:HO
Middle Name:LAM
Last Name:TSANG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1580 E. WASHINGTON STREET
Mailing Address - Street 2:SUITE 109
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94954
Mailing Address - Country:US
Mailing Address - Phone:707-762-6202
Mailing Address - Fax:707-258-8877
Practice Address - Street 1:1580 E. WASHINGTON STREET
Practice Address - Street 2:SUITE 109
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94954
Practice Address - Country:US
Practice Address - Phone:707-762-6202
Practice Address - Fax:707-258-8877
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-13
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC551171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist