Healthcare Provider Details

I. General information

NPI: 1083636575
Provider Name (Legal Business Name): PACIFIC GENERAL MEDICAL & EMERGECY CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 02/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7440 PACIFIC AVE
TACOMA WA
98408-7117
US

IV. Provider business mailing address

7440 PACIFIC AVE PACIFIC GENERAL MEDICAL CLINIC
TACOMA WA
98408-7117
US

V. Phone/Fax

Practice location:
  • Phone: 253-475-0511
  • Fax: 253-475-7440
Mailing address:
  • Phone: 253-475-0511
  • Fax: 253-475-7440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW MANKUEN TSOI
Title or Position: OWNER
Credential: MD
Phone: 253-475-0511