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Individual

ERIC TSAO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
399 E 21ST ST, PALM IMAGING INSTITUTE, SAN BERNARDINO, CA 92404-4815
(909) 882-2266
(909) 881-7593
Mailing address
399 EAST 21ST ST, SAN BERNARDINO, CA 92404
(909) 882-2266
(909) 881-7593

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A23041
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A23041
MEDICAL LICENSE
CA
Enumeration date
04/28/2006
Last updated
07/08/2007
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