Provider Demographics
NPI:1285775650
Name:TSAI, JEN-JY (LAC)
Entity type:Individual
Prefix:MRS
First Name:JEN-JY
Middle Name:
Last Name:TSAI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1242 BYRON ST
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-3212
Mailing Address - Country:US
Mailing Address - Phone:650-325-5711
Mailing Address - Fax:
Practice Address - Street 1:485 LOS COCHES ST
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5422
Practice Address - Country:US
Practice Address - Phone:408-946-9332
Practice Address - Fax:408-946-9303
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 7914171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist