Provider Demographics
NPI:1740735547
Name:DR. PETER TSAI ACUPUNCURE
Entity type:Organization
Organization Name:DR. PETER TSAI ACUPUNCURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-830-1766
Mailing Address - Street 1:441 E CARSON ST STE J
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-7712
Mailing Address - Country:US
Mailing Address - Phone:310-830-1766
Mailing Address - Fax:310-830-1786
Practice Address - Street 1:441 E CARSON ST STE J
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-7712
Practice Address - Country:US
Practice Address - Phone:310-830-1766
Practice Address - Fax:310-830-1786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC5433171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty