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NPI Code Detail

MEDICARE: DR. MARK CHUNG-HSUN TSAI M.D.

MEDICARE: DR. MARK CHUNG-HSUN TSAI M.D.
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
1207R00000XInternal Medicine PhysicianA81875CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A81875OTHERCACALIFORNIA LICENSE

General Provider Information

NPI Number : 1225033111
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK CHUNG-HSUN TSAI M.D.
Provider Business Mailing Address
First Line : 16415 COLORADO AVE
Second Line : SUITE 101
City : PARAMOUNT
State : CA
Zip : 90723-5035
Country : US
Telephone Number : 562-634-6341
Fax Number : 562-634-8949
Provider Business Practice Location Address
First Line : 16415 COLORADO AVE
Second Line : SUITE 101
City : PARAMOUNT
State : CA
Zip : 90723-5035
Country : US
Telephone Number : 562-634-6341
Fax Number : 562-634-8949
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 04/03/2017

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