Basic Information
Provider Information
NPI: 1427554088
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TSOI
FirstName: STEPHANIE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 283 TORDO CT
Address2:  
City: FREMONT
State: CA
PostalCode: 945393047
CountryCode: US
TelephoneNumber: 5102097870
FaxNumber:  
Practice Location
Address1: 550 16TH STREET
Address2: 4TH FLOOR, 4551, #0110
City: SAN FRANCISCO
State: CA
PostalCode: 94143
CountryCode: US
TelephoneNumber: 4154766245
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/03/2018
LastUpdateDate: 04/03/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X CAY Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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