Provider Demographics
NPI:1669738464
Name:TSAI, I CHEN (MD)
Entity type:Individual
Prefix:DR
First Name:I CHEN
Middle Name:
Last Name:TSAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6344 TOPANGA CANYON BLVD
Mailing Address - Street 2:SUITE 2040
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2359
Mailing Address - Country:US
Mailing Address - Phone:818-610-0292
Mailing Address - Fax:
Practice Address - Street 1:6344 TOPANGA CANYON BLVD
Practice Address - Street 2:SUITE 2040
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2359
Practice Address - Country:US
Practice Address - Phone:818-610-0292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-05
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA128554207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine