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Organization

BAYSHORE REHABILITATION MEDICINE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALICE TSAI D.O. (CEO)
(562) 679-1068
Entity
Organization

Contact information

Practice address
1555 SUPERIOR AVE, NEWPORT BEACH, CA 92663-3628
(562) 679-1068
Mailing address
3356 KALLIN AVE, LONG BEACH, CA 90808-4207

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A8796
CA

Other

Enumeration date
07/24/2007
Last updated
07/25/2008
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