Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A74027 | CA |
NPI | 1013924455 |
---|---|
Provider Name | Conrad Tseng |
First Address | Beverly Hills, CA 90211-2285 |
Second Address | Beverly Hills, CA 90211-2285 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 20/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7092636 | (05) | CA |
H79475 | (02) |