Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A105896 | CA |
N | 111NI0900X | Internist | A105896 | CA |
Y | 207RC0200X | Critical Care Medicine | A105896 | CA |
N | 207RP1001X | Pulmonary Disease | A105896 | CA |
NPI | 1013176213 |
---|---|
Provider Name | Dr. Will Tseng |
First Address | Los Gatos, CA 95031-1869 |
Second Address | San Jose, CA 95124-4106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2008 |
Last Update Date | 18/08/2016 |