| Topaz Clinic | |
|
3232 Topaz Ln Fullerton CA 92831-2609 | |
| (714) 446-5230 | |
| (714) 449-0726 |
| Full Name | Topaz Clinic |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 02/11/2015 |
| Last Update Date | 06/17/2020 |
| Certification Date | 06/17/2020 |
| Medicare PECOS PAC ID | 4284886789 |
|---|---|
| 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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