Provider Demographics
NPI:1568645257
Name:TSAI, ROBERT SHOU JEN (MD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:SHOU JEN
Last Name:TSAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16415 S COLORADO AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-5054
Mailing Address - Country:US
Mailing Address - Phone:562-529-7772
Mailing Address - Fax:562-529-5449
Practice Address - Street 1:16415 S COLORADO AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-5054
Practice Address - Country:US
Practice Address - Phone:562-529-7772
Practice Address - Fax:562-529-5449
Is Sole Proprietor?:No
Enumeration Date:2007-12-17
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33163208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice