| Ziven | |
| 
					21575 Dome Trl Topanga CA 90290-3645  | |
| (818) 416-3572 | |
| Not Available | 
| Full Name | Ziven | 
|---|---|
| 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 | 
|---|---|
| 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 | 
|---|---|
| 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  |