Provider Demographics
NPI:1952356560
Name:TSAI, WILLIAM J (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:TSAI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:19742 MACARTHUR BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612
Mailing Address - Country:US
Mailing Address - Phone:949-955-0202
Mailing Address - Fax:949-955-0203
Practice Address - Street 1:19742 MACARTHUR BLVD
Practice Address - Street 2:STE 101
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-2432
Practice Address - Country:US
Practice Address - Phone:949-955-0202
Practice Address - Fax:949-955-0203
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2010-07-16
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Provider Licenses
StateLicense IDTaxonomies
CAA71679207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A716790Medicaid
CAA71679Medicare ID - Type Unspecified
CA00A716790Medicaid