Provider Demographics
NPI:1194141671
Name:TSENG, TIFFANY ANTING (NP)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:ANTING
Last Name:TSENG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 S ARROYO PKWY
Mailing Address - Street 2:3F
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-2515
Mailing Address - Country:US
Mailing Address - Phone:877-577-5070
Mailing Address - Fax:
Practice Address - Street 1:333 S ARROYO PKWY
Practice Address - Street 2:3F
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-2515
Practice Address - Country:US
Practice Address - Phone:877-577-5070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-09
Last Update Date:2016-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY421165363LW0102X
NY673016163W00000X
CARN95082963163W00000X
CANP95003918363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse