Healthcare Provider Details

I. General information

NPI: 1942604574
Provider Name (Legal Business Name): TAI-CHUN TSAI L.AC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2014
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2131 S GROVE AVE STE C
ONTARIO CA
91761-5697
US

IV. Provider business mailing address

2671 E PENELOPE LN
ONTARIO CA
91762-7394
US

V. Phone/Fax

Practice location:
  • Phone: 650-773-2756
  • Fax:
Mailing address:
  • Phone: 714-266-9663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number16304
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: