Healthcare Provider Details

I. General information

NPI: 1619340635
Provider Name (Legal Business Name): KARLEEN TSAI-YIP L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KARLEEN TSAI L.AC

II. Dates (important events)

Enumeration Date: 11/12/2015
Last Update Date: 11/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 SOLANO AVE SUITE 201
BERKELEY CA
94707-2297
US

IV. Provider business mailing address

1930 HEARST AVE APT G
BERKELEY CA
94709-2180
US

V. Phone/Fax

Practice location:
  • Phone: 707-969-7010
  • Fax:
Mailing address:
  • Phone: 408-905-7228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number14690
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: