# CLARK S TSAI, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871861559
- **Authorized official:** MR. CLARK S. TSAI M.D. (CEO/PRESIDENT)
- **Authorized official phone:** (925) 864-8886

## Contact information

- **Practice address:** 350 30TH ST, SUITE 444, OAKLAND, CA 94609-3424
- **Practice address phone:** (925) 864-8886
- **Practice address fax:** (925) 689-7748
- **Mailing address:** 2225 PORT CHICAGO HWY, CONCORD, CA 94520-2051
- **Mailing address phone:** (925) 864-8886
- **Mailing address fax:** (925) 689-7748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G76192 | CA | Yes |

## Other

- **Enumeration date:** 12/08/2011
- **Last updated:** 12/09/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G761992 | — | CA |