Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 30586 | CA |
NPI | 1003006693 |
---|---|
Provider Name | Anthony Tsai |
First Address | San Jose, CA 95128-5103 |
Second Address | San Jose, CA 95128-5103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2007 |
Last Update Date | 19/03/2008 |