Provider Demographics
NPI:1922189232
Name:TSAI, WEI CHE (MD)
Entity Type:Individual
Prefix:DR
First Name:WEI
Middle Name:CHE
Last Name:TSAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1087
Mailing Address - Street 2:SUIT#
Mailing Address - City:BANNING
Mailing Address - State:CA
Mailing Address - Zip Code:92220-0008
Mailing Address - Country:US
Mailing Address - Phone:951-849-4005
Mailing Address - Fax:951-849-9107
Practice Address - Street 1:1034 W RAMSEY ST
Practice Address - Street 2:SUITE#A
Practice Address - City:BANNING
Practice Address - State:CA
Practice Address - Zip Code:92220-4442
Practice Address - Country:US
Practice Address - Phone:951-849-4005
Practice Address - Fax:951-849-9107
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC39533208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C395330Medicare ID - Type UnspecifiedMEDICARE
CAA37166Medicare UPIN