Basic Information
Provider Information
NPI: 1598176497
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TSAI
FirstName: MONICA
MiddleName:  
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Mailing Information
Address1: 5767 W CENTURY BLVD STE 400
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900455631
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 3500 LOMITA BLVD STE 300
Address2:  
City: TORRANCE
State: CA
PostalCode: 905055038
CountryCode: US
TelephoneNumber: 3102570028
FaxNumber: 3102270031
Other Information
ProviderEnumerationDate: 05/13/2014
LastUpdateDate: 11/01/2019
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA142506CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RA0201XA142506CAY Allopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology

No ID Information.


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