Provider Demographics
NPI:1902565716
Name:TSI, MULIKA Y
Entity type:Individual
Prefix:
First Name:MULIKA
Middle Name:Y
Last Name:TSI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6282 SANTA CATALINA AVE
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92845-1224
Mailing Address - Country:US
Mailing Address - Phone:562-537-5707
Mailing Address - Fax:
Practice Address - Street 1:12865 MAIN ST, STE 105
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840
Practice Address - Country:US
Practice Address - Phone:800-768-1977
Practice Address - Fax:800-768-1977
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-09
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95019293363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily