Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | A156171 | CA |
NPI | 1265759807 |
---|---|
Provider Name | Jill Tseng |
First Address | Orange, CA 92868-5900 |
Second Address | Orange, CA 92868-5900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2010 |
Last Update Date | 13/09/2018 |