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
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | MD00049012 | WA | Y |   | Allopathic & Osteopathic Physicians | Neurological Surgery |   |
No ID Information.