Provider Demographics
NPI:1932130697
Name:TSAI, SEAN I-HSIN (DO)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:I-HSIN
Last Name:TSAI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 FREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-3227
Mailing Address - Country:US
Mailing Address - Phone:626-793-0660
Mailing Address - Fax:626-793-0660
Practice Address - Street 1:1108 FREMONT AVE
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-3227
Practice Address - Country:US
Practice Address - Phone:626-793-0660
Practice Address - Fax:626-793-0660
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7930204D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM