Basic Information
| Provider Information | |||||||||
| NPI: | 1003006693 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TSAI | ||||||||
| FirstName: | ANTHONY | ||||||||
| MiddleName: | |||||||||
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| Credential: | DC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 373 S MONROE ST | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | SAN JOSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 951285103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4082418724 | ||||||||
| FaxNumber: | 4082418725 | ||||||||
| Practice Location | |||||||||
| Address1: | 373 S MONROE ST | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | SAN JOSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 951285103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4082418724 | ||||||||
| FaxNumber: | 4082418725 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/30/2007 | ||||||||
| LastUpdateDate: | 03/19/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 30586 | CA | Y | Chiropractic Providers | Chiropractor |
No ID Information.