MEDICARE: DR CHRISTOPHER TSAI, A PROFESSIONAL CHIROPRACTIC CORP

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	261Q00000X	Clinic/Center
2	111NS0005X	Sports Physician Chiropractor

General Provider Information

NPI Number	:	1275136103
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR CHRISTOPHER TSAI, A PROFESSIONAL CHIROPRACTIC CORP

Provider Business Mailing Address
First Line	:	2030 N GLENOAKS BLVD
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91504-2835
Country	:	US
Telephone Number	:	818-538-4580
Fax Number	:

Provider Business Practice Location Address
First Line	:	4021 W BURBANK BLVD
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-2120
Country	:	US
Telephone Number	:	818-841-4100
Fax Number	:	818-848-7701

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHRISTOPHER MINGSING TSAI
Credential	:	DC
Telephone Number	:	818-538-4580

Provider Enumeration Date	:	11/21/2020
Last Update Date	:	11/21/2020

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