MEDICARE: WUN-YI 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
1	207V00000X	Obstetrics & Gynecology Physician	A34858	CA

General Provider Information

NPI Number	:	1588608921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WUN-YI TSAI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 26647
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95159-6647
Country	:	US
Telephone Number	:	408-294-8774
Fax Number	:	408-294-5047

Provider Business Practice Location Address
First Line	:	619 BOLTON CT
Second Line	:	# 1
City	:	SAN JOSE
State	:	CA
Zip	:	95129-2059
Country	:	US
Telephone Number	:	408-294-8774
Fax Number	:	408-294-5047

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

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	07/08/2007

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