Organization Name: | ROBERT SHOU JEN TSAI MD A PROFESSIONAL CORP |
NPI Number: | 1831101351 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT SHOU JEN TSAI (PRESIDENT) |
Mailing Address: | 16415 S Colorado Ave Suite 205 Paramount |
State: | CA US |
Postal Code: | 907235054 |
Phone Number: | 5625297772 |
Fax Number: | 5625295449 |
NPI Enumeration Date: | 08/13/2006 |
NPI Last Update Date: | 03/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A33163 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |