Provider Demographics
NPI:1447235080
Name:TSAI, DARYL KUEI-SHANN (MD)
Entity Type:Individual
Prefix:MR
First Name:DARYL
Middle Name:KUEI-SHANN
Last Name:TSAI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:15944 LOS SERRANOS COUNTRY CLUB DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-3991
Mailing Address - Country:US
Mailing Address - Phone:909-393-6202
Mailing Address - Fax:909-363-6204
Practice Address - Street 1:15944 LOS SERRANOS COUNTRY CLUB DR
Practice Address - Street 2:SUITE 220
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-3991
Practice Address - Country:US
Practice Address - Phone:909-393-6202
Practice Address - Fax:909-393-6204
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA00067478208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A674780Medicaid
CA1447235080Medicaid