MEDICARE: MAGGIE TSAI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	142268	CA

General Provider Information

NPI Number	:	1134950454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAGGIE TSAI

Provider Business Mailing Address
First Line	:	14120 ALTA VISTA AVE
Second Line	:
City	:	SARATOGA
State	:	CA
Zip	:	95070-5459
Country	:	US
Telephone Number	:	408-799-0630
Fax Number	:

Provider Business Practice Location Address
First Line	:	14583 BIG BASIN WAY STE 2B
Second Line	:
City	:	SARATOGA
State	:	CA
Zip	:	95070-6072
Country	:	US
Telephone Number	:	831-917-5510
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2024
Last Update Date	:	08/08/2024

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Directions to “ MAGGIE TSAI ” Practice Location

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