| Ellick Tsang M D Corporation | |
|
1800 Sullivan Ave Suite 304 Daly City CA 94015-2228 | |
| (650) 992-8484 | |
| (650) 992-8480 |
| Full Name | Ellick Tsang M D Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1800 Sullivan Ave, Daly City, California |
| Authorized Official Name and Position | Ellick Tsang (PRESIDENT) |
| Authorized Official Contact | 6509928484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellick Tsang M D Corporation 3055 26th Ave San Francisco CA 94132-1545 Ph: (650) 992-8484 | Ellick Tsang M D Corporation 1800 Sullivan Ave Suite 304 Daly City CA 94015-2228 Ph: (650) 992-8484 |
| NPI Number | 1114161205 |
|---|---|
| Provider Enumeration Date | 04/21/2009 |
| Last Update Date | 04/21/2009 |
| Medicare PECOS PAC ID | 8820277304 |
|---|---|
| Medicare Enrollment ID | O20110131000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114161205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A053928 (California) | Primary |
| 208M00000X | Hospitalist | A053928 (California) | Secondary |
| Provider Name | Nang Lok Tsang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992873723 PECOS PAC ID: 5698823540 Enrollment ID: I20090501000398 |
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