Healthcare Provider Details

I. General information

NPI: 1275136103
Provider Name (Legal Business Name): DR CHRISTOPHER TSAI, A PROFESSIONAL CHIROPRACTIC CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2020
Last Update Date: 11/21/2020
Certification Date: 11/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4021 W BURBANK BLVD
BURBANK CA
91505-2120
US

IV. Provider business mailing address

2030 N GLENOAKS BLVD
BURBANK CA
91504-2835
US

V. Phone/Fax

Practice location:
  • Phone: 818-841-4100
  • Fax: 818-848-7701
Mailing address:
  • Phone: 818-538-4580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER MINGSING TSAI
Title or Position: PRESIDENT
Credential: DC
Phone: 818-538-4580