Basic Information
Provider Information
NPI: 1871629717
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TSE
FirstName: VICTOR
MiddleName: CK
NamePrefix: PROF.
NameSuffix:  
Credential: MD PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: TSE
OtherFirstName: CHUN-KEE
OtherMiddleName: VICTOR
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD PHD
OtherLastNameType: 5
Mailing Information
Address1: 1150 VETERANS BLVD
Address2:  
City: REDWOOD CITY
State: CA
PostalCode: 940632037
CountryCode: US
TelephoneNumber: 2063202800
FaxNumber: 2063202827
Practice Location
Address1: 550 17TH AVE
Address2: 5TH FLOOR
City: SEATTLE
State: WA
PostalCode: 981225788
CountryCode: US
TelephoneNumber: 2063202800
FaxNumber: 2063202827
Other Information
ProviderEnumerationDate: 02/26/2007
LastUpdateDate: 01/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207T00000XMD00049012WAY Allopathic & Osteopathic PhysiciansNeurological Surgery 

No ID Information.


Home