Provider Demographics
NPI:1619340635
Name:TSAI-YIP, KARLEEN (LAC)
Entity Type:Individual
Prefix:
First Name:KARLEEN
Middle Name:
Last Name:TSAI-YIP
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:KARLEEN
Other - Middle Name:
Other - Last Name:TSAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:1930 HEARST AVE
Mailing Address - Street 2:APT G
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94709-2180
Mailing Address - Country:US
Mailing Address - Phone:408-905-7228
Mailing Address - Fax:
Practice Address - Street 1:1760 SOLANO AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94707-2297
Practice Address - Country:US
Practice Address - Phone:707-969-7010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14690171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist