MEDICARE: DR. MORRIS JAMES TAI D.C.

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	111N00000X	Chiropractor	23700	CA

General Provider Information

NPI Number	:	1598002958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MORRIS JAMES TAI D.C.

Provider Business Mailing Address
First Line	:	5330 MADISON AVE STE B
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95841-3150
Country	:	US
Telephone Number	:	916-334-6262
Fax Number	:	916-334-6729

Provider Business Practice Location Address
First Line	:	5330 MADISON AVE STE B
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95841-3150
Country	:	US
Telephone Number	:	916-334-6262
Fax Number	:	916-334-6729

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

Provider Enumeration Date	:	01/04/2013
Last Update Date	:	01/04/2013

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