Provider Demographics
NPI:1003006693
Name:TSAI, ANTHONY (DC)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:TSAI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:373 S MONROE ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-5103
Mailing Address - Country:US
Mailing Address - Phone:408-241-8724
Mailing Address - Fax:408-241-8725
Practice Address - Street 1:373 S MONROE ST
Practice Address - Street 2:SUITE 201
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-5103
Practice Address - Country:US
Practice Address - Phone:408-241-8724
Practice Address - Fax:408-241-8725
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30586111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor