Provider Demographics
NPI:1710227392
Name:TSAI, EDWARD M
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:M
Last Name:TSAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3291 LAVENDER DR
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-1895
Mailing Address - Country:US
Mailing Address - Phone:714-792-0192
Mailing Address - Fax:714-792-0192
Practice Address - Street 1:3291 LAVENDER DR
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-1895
Practice Address - Country:US
Practice Address - Phone:714-792-0192
Practice Address - Fax:714-792-0192
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33775207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine