Provider Demographics
NPI:1225033111
Name:TSAI, MARK CHUNG-HSUN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:CHUNG-HSUN
Last Name:TSAI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:16415 COLORADO AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-5035
Mailing Address - Country:US
Mailing Address - Phone:562-634-6341
Mailing Address - Fax:562-634-8949
Practice Address - Street 1:16415 COLORADO AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-5035
Practice Address - Country:US
Practice Address - Phone:562-634-6341
Practice Address - Fax:562-634-8949
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2017-04-03
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Provider Licenses
StateLicense IDTaxonomies
CAA81875207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA81875OtherCALIFORNIA LICENSE