Provider Demographics
NPI:1043337223
Name:THOMAS S TZENG, MD INC
Entity type:Organization
Organization Name:THOMAS S TZENG, MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:S
Authorized Official - Last Name:TZENG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-698-6857
Mailing Address - Street 1:PO BOX 6448
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90609-6448
Mailing Address - Country:US
Mailing Address - Phone:562-698-6857
Mailing Address - Fax:562-698-4431
Practice Address - Street 1:9001 W SHARON WAY
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-3456
Practice Address - Country:US
Practice Address - Phone:562-698-6857
Practice Address - Fax:562-698-4431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA37994208600000X, 208G00000X
208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00017121OtherRAILROAD MEDICARE
CA00A379940Medicaid
CAA28505Medicare UPIN
CA00A379940Medicaid