Provider Demographics
NPI:1225342462
Name:THOMAS J TSOU MD INC
Entity Type:Organization
Organization Name:THOMAS J TSOU MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:TSOU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-827-1212
Mailing Address - Street 1:408 S BEACH BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-1853
Mailing Address - Country:US
Mailing Address - Phone:714-827-1212
Mailing Address - Fax:714-827-0843
Practice Address - Street 1:408 S BEACH BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-1864
Practice Address - Country:US
Practice Address - Phone:714-827-1212
Practice Address - Fax:714-827-0843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-29
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA32927261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A329270Medicaid
CAA32927Medicare PIN