Provider Demographics
NPI:1780776013
Name:SEAN TSAI, D.O., PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:SEAN TSAI, D.O., PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:I-HSIN
Authorized Official - Last Name:TSAI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:626-793-0660
Mailing Address - Street 1:127 N. MADISON AVE
Mailing Address - Street 2:SUITE 213
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1715
Mailing Address - Country:US
Mailing Address - Phone:626-793-0660
Mailing Address - Fax:626-793-0660
Practice Address - Street 1:127 N. MADISON AVE
Practice Address - Street 2:SUITE 213
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1715
Practice Address - Country:US
Practice Address - Phone:626-793-0660
Practice Address - Fax:626-793-0660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7930204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Single Specialty