Provider Demographics
NPI:1871142877
Name:TSE, MAN FEI (MA)
Entity type:Individual
Prefix:MISS
First Name:MAN FEI
Middle Name:
Last Name:TSE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MISS
Other - First Name:ANIKA
Other - Middle Name:
Other - Last Name:TSE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:10455 POMERADO ROAD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131
Mailing Address - Country:US
Mailing Address - Phone:858-635-4357
Mailing Address - Fax:
Practice Address - Street 1:545 LAUREL STREET
Practice Address - Street 2:VISTA BALBOA CRISIS CENTER
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101
Practice Address - Country:US
Practice Address - Phone:619-233-4399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program