MEDICARE: THOMAS J TSOU MD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center	A32927	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225342462
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS J TSOU MD INC

Provider Business Mailing Address
First Line	:	408 S BEACH BLVD
Second Line	:	SUITE 110
City	:	ANAHEIM
State	:	CA
Zip	:	92804-1853
Country	:	US
Telephone Number	:	714-827-1212
Fax Number	:	714-827-0843

Provider Business Practice Location Address
First Line	:	408 S BEACH BLVD
Second Line	:	SUITE 110
City	:	ANAHEIM
State	:	CA
Zip	:	92804-1864
Country	:	US
Telephone Number	:	714-827-1212
Fax Number	:	714-827-0843

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. THOMAS J TSOU
Credential	:	M.D.
Telephone Number	:	714-827-1212

Provider Enumeration Date	:	07/29/2010
Last Update Date	:	08/12/2010

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