Topaz Clinic | |
3232 Topaz Ln Fullerton CA 92831-2609 | |
(714) 446-5230 | |
(714) 449-0726 |
Full Name | Topaz Clinic |
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Speciality | Clinic/Center |
Location | 3232 Topaz Ln, Fullerton, California |
Authorized Official Name and Position | Timothy Jason Brown (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2088999631 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Topaz Clinic 731 S Highland Ave Fullerton CA 92832-2753 Ph: (714) 446-5230 | Topaz Clinic 3232 Topaz Ln Fullerton CA 92831-2609 Ph: (714) 446-5230 |
NPI Number | 1457742447 |
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Provider Enumeration Date | 02/11/2015 |
Last Update Date | 06/17/2020 |
Medicare PECOS PAC ID | 4284886789 |
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Medicare Enrollment ID | O20150309000080 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457742447 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | 550000408 (California) | Primary |
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