Provider Demographics
NPI:1821418047
Name:TSAO, SHUI KWAN (AC)
Entity Type:Individual
Prefix:MR
First Name:SHUI
Middle Name:KWAN
Last Name:TSAO
Suffix:
Gender:M
Credentials:AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 E VALLEY BLVD
Mailing Address - Street 2:#102
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-3554
Mailing Address - Country:US
Mailing Address - Phone:626-280-2121
Mailing Address - Fax:
Practice Address - Street 1:311 E VALLEY BLVD
Practice Address - Street 2:#102
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-3554
Practice Address - Country:US
Practice Address - Phone:626-280-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-27
Last Update Date:2014-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 14196171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist