MEDICARE: THOMAS J TSOU 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
1	174400000X	Specialist	330872922	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	A32927	OTHER	CA	MEDICAL LICENSE

General Provider Information

NPI Number	:	1316981277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS J TSOU M.D.

Provider Business Mailing Address
First Line	:	3400 W BALL RD STE 103
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-3735
Country	:	US
Telephone Number	:	714-827-1212
Fax Number	:	714-827-0843

Provider Business Practice Location Address
First Line	:	3400 W BALL RD STE 103
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-3735
Country	:	US
Telephone Number	:	714-827-1212
Fax Number	:	714-827-0843

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	08/12/2016

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