# GRACE TSAI DPM PODIATRY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GRACE TSAI DPM PODIATRY INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902543614
- **Legal business name:** GRACE TSAI DPM PODIATRY INC
- **Authorized official:** DR. GRACE LEE TSAI DPM (CEO)
- **Authorized official phone:** (646) 533-9070

## Contact information

- **Practice address:** 3711 INGLEWOOD BLVD APT 10, LOS ANGELES, CA 90066-3260
- **Practice address phone:** (646) 533-9070
- **Mailing address:** 3711 INGLEWOOD BLVD APT 10, LOS ANGELES, CA 90066-3260
- **Mailing address phone:** (646) 533-9070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2022
- **Last updated:** 06/09/2022
