| Topanga Medical Clinic | |
|
395 S Topanga Canyon Blvd Suite 104 Topanga CA 90290-3143 | |
| (310) 455-2019 | |
| (310) 455-2010 |
| Full Name | Topanga Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 395 S Topanga Canyon Blvd, Topanga, California |
| Authorized Official Name and Position | Douglas Pendleton Roy (PHYSICIAN) |
| Authorized Official Contact | 3104552019 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Topanga Medical Clinic 395 S Topanga Canyon Blvd Suite 104 Topanga CA 90290-3143 Ph: (310) 455-2019 | Topanga Medical Clinic 395 S Topanga Canyon Blvd Suite 104 Topanga CA 90290-3143 Ph: (310) 455-2019 |
| NPI Number | 1841368818 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0749225787 |
|---|---|
| Medicare Enrollment ID | O20050621000819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841368818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G-037170 (California) | Primary |
| Provider Name | Douglas P Roy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417025180 PECOS PAC ID: 8820198948 Enrollment ID: I20120710000672 |
Ziven Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21575 Dome Trl, Topanga, CA 90290 Phone: 818-416-3572 |