James W Tsai Dds Inc | |
1302 N Altadena Dr Pasadena CA 91107-1430 | |
(626) 797-6778 | |
(626) 797-1885 |
Full Name | James W Tsai Dds Inc |
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Speciality | Clinic/Center |
Location | 1302 N Altadena Dr, Pasadena, California |
Authorized Official Name and Position | James W Tsai (PRESIDENT) |
Authorized Official Contact | 6265897318 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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James W Tsai Dds Inc 1302 N Altadena Dr Pasadena CA 91107-1430 Ph: () - | James W Tsai Dds Inc 1302 N Altadena Dr Pasadena CA 91107-1430 Ph: (626) 797-6778 |
NPI Number | 1952063992 |
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Provider Enumeration Date | 10/07/2021 |
Last Update Date | 10/07/2021 |
Medicare PECOS PAC ID | 4981093473 |
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Medicare Enrollment ID | O20211123001578 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952063992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Provider Name | James W Tsai |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1972624997 PECOS PAC ID: 3375836554 Enrollment ID: I20211123001806 |
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