Provider Demographics
NPI:1942604574
Name:TSAI, TAI-CHUN (LAC)
Entity Type:Individual
Prefix:MR
First Name:TAI-CHUN
Middle Name:
Last Name:TSAI
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2671 E PENELOPE LN
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91762-7394
Mailing Address - Country:US
Mailing Address - Phone:714-266-9663
Mailing Address - Fax:
Practice Address - Street 1:3811 SCHAEFER AVE STE J
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-5400
Practice Address - Country:US
Practice Address - Phone:714-266-9663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-10
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16304171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist