Provider Demographics
NPI:1528549193
Name:TSAO, ANTHONY LEE (AUD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:LEE
Last Name:TSAO
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 S RAMONA ST APT B
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-2361
Mailing Address - Country:US
Mailing Address - Phone:660-473-3659
Mailing Address - Fax:
Practice Address - Street 1:2700 W 3RD ST STE 111
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-1924
Practice Address - Country:US
Practice Address - Phone:213-483-9930
Practice Address - Fax:213-484-5900
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3333231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist