Healthcare Provider Details

I. General information

NPI: 1821280710
Provider Name (Legal Business Name): PHIL TSAI M.D., M.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 05/14/2020
Certification Date: 05/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7601 IMPERIAL HWY DEPT OF ANESTHESIOLOGY
DOWNEY CA
90242-3456
US

IV. Provider business mailing address

7601 E. IMPERIAL HIGHWAY DEPARTMENT OF ANESTHESIOLOGY
DOWNEY CA
90242
US

V. Phone/Fax

Practice location:
  • Phone: 562-385-7755
  • Fax:
Mailing address:
  • Phone: 310-385-7755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA101896
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: