Healthcare Provider Details
I. General information
NPI: 1598176497
Provider Name (Legal Business Name): MONICA TSAI
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/13/2014
Last Update Date: 06/27/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3500 LOMITA BLVD STE 300
TORRANCE CA
90505-5038
US
IV. Provider business mailing address
5767 W CENTURY BLVD STE 400
LOS ANGELES CA
90045-5631
US
V. Phone/Fax
- Phone: 310-257-0028
- Fax: 310-227-0031
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | A142506 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RA0201X |
| Taxonomy | Allergy & Immunology (Internal Medicine) Physician |
| License Number | A142506 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: