Healthcare Provider Details

I. General information

NPI: 1912914755
Provider Name (Legal Business Name): HO CHIE TSAI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 GREGORY LN SUITE 203
PLEASANT HILL CA
94523-2880
US

IV. Provider business mailing address

1771 HIGHLAND PL APT 208
BERKELEY CA
94709-1066
US

V. Phone/Fax

Practice location:
  • Phone: 925-288-3600
  • Fax:
Mailing address:
  • Phone: 510-704-4080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA84914
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: