Healthcare Provider Details

I. General information

NPI: 1689703662
Provider Name (Legal Business Name): PAI JEI TSAI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA TSAI

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 09/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 WEST ST
OAKLAND CA
94608-4536
US

IV. Provider business mailing address

2850 WEST ST
OAKLAND CA
94608-4536
US

V. Phone/Fax

Practice location:
  • Phone: 510-879-8481
  • Fax: 510-879-2416
Mailing address:
  • Phone: 510-879-8481
  • Fax: 510-879-2416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: