Basic Information
| Provider Information | |||||||||
| NPI: | 1013909407 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TSAI | ||||||||
| FirstName: | ISAAC | ||||||||
| MiddleName: | K | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 341 MAGNOLIA AVE | ||||||||
| Address2: | SUITE 205 | ||||||||
| City: | CORONA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928793330 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9517354771 | ||||||||
| FaxNumber: | 9517353855 | ||||||||
| Practice Location | |||||||||
| Address1: | 341 MAGNOLIA AVE. | ||||||||
| Address2: | SUITE 205 | ||||||||
| City: | CORONA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928793120 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9517354771 | ||||||||
| FaxNumber: | 9517353855 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/22/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | 03/25/2006 | ||||||||
| NPIReactivationDate: | 04/12/2006 | ||||||||
| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | A39031 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.