Provider Demographics
NPI:1306828272
Name:TSAI, OLIVER C (MD)
Entity Type:Individual
Prefix:
First Name:OLIVER
Middle Name:C
Last Name:TSAI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1433 W MERCED AVE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-3402
Mailing Address - Country:US
Mailing Address - Phone:626-962-3584
Mailing Address - Fax:626-962-3261
Practice Address - Street 1:1433 W MERCED AVE
Practice Address - Street 2:SUITE 308
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-3402
Practice Address - Country:US
Practice Address - Phone:626-962-3584
Practice Address - Fax:626-962-3261
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA49033207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine