Provider Demographics
NPI:1568867158
Name:TSAI, PEI CHEN (LAC)
Entity Type:Individual
Prefix:MS
First Name:PEI CHEN
Middle Name:
Last Name:TSAI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 W FARLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-4720
Mailing Address - Country:US
Mailing Address - Phone:310-912-4804
Mailing Address - Fax:
Practice Address - Street 1:670 MONTEREY PASS RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-2436
Practice Address - Country:US
Practice Address - Phone:626-551-5155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC16000171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist