Healthcare Provider Details

I. General information

NPI: 1588608921
Provider Name (Legal Business Name): WUN-YI TSAI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 BOLTON CT # 1
SAN JOSE CA
95129-2059
US

IV. Provider business mailing address

PO BOX 26647
SAN JOSE CA
95159-6647
US

V. Phone/Fax

Practice location:
  • Phone: 408-294-8774
  • Fax: 408-294-5047
Mailing address:
  • Phone: 408-294-8774
  • Fax: 408-294-5047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA34858
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: