Ziven | |
21575 Dome Trl Topanga CA 90290-3645 | |
(818) 416-3572 | |
Not Available |
Full Name | Ziven |
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Speciality | Family Medicine |
Location | 21575 Dome Trl, Topanga, California |
Authorized Official Name and Position | Grant Palin (CEO) |
Authorized Official Contact | 8184163572 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ziven 21575 Dome Trl Topanga CA 90290-3645 Ph: (818) 416-3572 | Ziven 21575 Dome Trl Topanga CA 90290-3645 Ph: (818) 416-3572 |
NPI Number | 1366035370 |
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Provider Enumeration Date | 02/19/2021 |
Last Update Date | 02/19/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366035370 | NPI | - | NPPES |
202102010174 | Other | ENTITY NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Topanga Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 395 S Topanga Canyon Blvd, Suite 104, Topanga, CA 90290 Phone: 310-455-2019 Fax: 310-455-2010 |