MEDICARE: HENRY 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	207R00000X	Internal Medicine Physician	A61903	CA

General Provider Information

NPI Number	:	1982772463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HENRY TSAI M.D.

Provider Business Mailing Address
First Line	:	83 TRAILING VINE
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92602-2468
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	UC IRVINE STUDENT HEALTH CENTER
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92697-5200
Country	:	US
Telephone Number	:	949-824-5302
Fax Number	:	949-824-3033

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

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	07/08/2007

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