Healthcare Provider Details

I. General information

NPI: 1417054198
Provider Name (Legal Business Name): CATHERINE PING CHEN-TSAI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2006
Last Update Date: 06/28/2024
Certification Date: 06/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3011 S LINDSAY RD STE 111
GILBERT AZ
85295-4334
US

IV. Provider business mailing address

2285 CORPORATE CIR STE 200
HENDERSON NV
89074-7759
US

V. Phone/Fax

Practice location:
  • Phone: 480-619-6450
  • Fax: 480-355-1999
Mailing address:
  • Phone: 702-360-2763
  • Fax: 949-783-2880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number35121
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: