MEDICARE: WILLIAM TSAI D O INC

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	207Q00000X	Family Medicine Physician	20A7115	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

General Provider Information

NPI Number	:	1598876856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM TSAI D O INC

Provider Business Mailing Address
First Line	:	510 N 13TH AVE STE 101
Second Line	:
City	:	UPLAND
State	:	CA
Zip	:	91786-4973
Country	:	US
Telephone Number	:	909-985-8838
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 N 13TH AVE STE 101
Second Line	:
City	:	UPLAND
State	:	CA
Zip	:	91786-4973
Country	:	US
Telephone Number	:	909-985-8838
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN OWNER
Name	:	DR. WILLIAM TSAI
Credential	:	D.O.
Telephone Number	:	909-985-8838

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	04/24/2024

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