Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | A39031 | CA |
NPI | 1013909407 |
---|---|
Provider Name | Dr. Isaac K Tsai |
First Address | Corona, CA 92879-3330 |
Second Address | Corona, CA 92879-3120 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A28797 | (02) | CA |