| William Tsai D O Inc | |
|
510 N 13th Ave Ste 101 Upland CA 91786-4973 | |
| (909) 985-8838 | |
| Not Available |
| Full Name | William Tsai D O Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 510 N 13th Ave Ste 101, Upland, California |
| Authorized Official Name and Position | William Tsai (PHYSICIAN OWNER) |
| Authorized Official Contact | 9099858838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William Tsai D O Inc 510 N 13th Ave Ste 101 Upland CA 91786-4973 Ph: (909) 985-8838 | William Tsai D O Inc 510 N 13th Ave Ste 101 Upland CA 91786-4973 Ph: (909) 985-8838 |
| NPI Number | 1598876856 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 04/24/2024 |
| Medicare PECOS PAC ID | 1254590532 |
|---|---|
| Medicare Enrollment ID | O20120306000295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598876856 | NPI | - | NPPES |
| 00AX71150 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A7115 (California) | Primary |
| Provider Name | William T Tsai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285620443 PECOS PAC ID: 4082512959 Enrollment ID: I20031230000277 |
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