Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 18500 | CA |
NPI | 1003058348 |
---|---|
Provider Name | Anna Teresa Mendoza Tsay |
First Address | Pasadena, CA 91188-0001 |
Second Address | Los Angeles, CA 90065-3718 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2009 |
Last Update Date | 07/10/2021 |