Individual
DR. IVAN YOUNG TSAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5890 EDINGER AVE, HUNTINGTON BEACH, CA 92649-1705
(714) 840-2020
(714) 840-2025
Mailing address
5890 EDINGER AVE, HUNTINGTON BEACH, CA 92649-1705
(714) 840-2020
(714) 840-2025
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11335T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SD11335T0
BLUE SHIELD PROVIDER PIN
CA
01
—
W17925
MEDICARE GROUP PIN
CA
01
—
Y16365
MEDICARE GROUP UPIN
CA
Enumeration date
02/17/2006
Last updated
02/19/2014
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