| Wilbert T Tsai Md Inc | |
|
1818 N Orange Grove Ave 103 Pomona CA 91767-3028 | |
| (909) 623-6581 | |
| (909) 623-1751 |
| Full Name | Wilbert T Tsai Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1818 N Orange Grove Ave, Pomona, California |
| Authorized Official Name and Position | Wilbert T Tsai (PRESIDENT) |
| Authorized Official Contact | 9096236581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilbert T Tsai Md Inc 1818 N Orange Grove Ave 103 Pomona CA 91767-3028 Ph: (909) 623-6581 | Wilbert T Tsai Md Inc 1818 N Orange Grove Ave 103 Pomona CA 91767-3028 Ph: (909) 623-6581 |
| NPI Number | 1437464328 |
|---|---|
| Provider Enumeration Date | 08/16/2010 |
| Last Update Date | 07/19/2012 |
| Medicare PECOS PAC ID | 9537356175 |
|---|---|
| Medicare Enrollment ID | O20101209000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437464328 | NPI | - | NPPES |
| A107727 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A107727 (California) | Primary |
| Provider Name | Wilbert T Tsai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013114420 PECOS PAC ID: 6800083346 Enrollment ID: I20101209000174 |
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