Provider Demographics
NPI:1275136103
Name:DR CHRISTOPHER TSAI, A PROFESSIONAL CHIROPRACTIC CORP
Entity Type:Organization
Organization Name:DR CHRISTOPHER TSAI, A PROFESSIONAL CHIROPRACTIC CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MINGSING
Authorized Official - Last Name:TSAI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-538-4580
Mailing Address - Street 1:2030 N GLENOAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-2835
Mailing Address - Country:US
Mailing Address - Phone:818-538-4580
Mailing Address - Fax:
Practice Address - Street 1:4021 W BURBANK BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2120
Practice Address - Country:US
Practice Address - Phone:818-841-4100
Practice Address - Fax:818-848-7701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-21
Last Update Date:2020-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty