Healthcare Provider Details

I. General information

NPI: 1285070466
Provider Name (Legal Business Name): TSAI, HSIAO & LOO DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2013
Last Update Date: 05/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4980 BARRANCA PKWY SUITE 204
IRVINE CA
92604-8645
US

IV. Provider business mailing address

1680 E HILL ST
SIGNAL HILL CA
90755-3612
US

V. Phone/Fax

Practice location:
  • Phone: 949-552-8547
  • Fax: 562-424-8913
Mailing address:
  • Phone: 562-981-5044
  • Fax: 562-424-8913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. MATTHEW CHIEN TSAI
Title or Position: CEO
Credential: DDS
Phone: 562-981-5044