Healthcare Provider Details

I. General information

NPI: 1497757413
Provider Name (Legal Business Name): DAWN M TOPPING P.A.-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAWN M KLATT P.A.-C

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 10/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6403 COYLE AVE SUITE 170
CARMICHAEL CA
95608-0311
US

IV. Provider business mailing address

6403 COYLE AVE SUITE 170
CARMICHAEL CA
95608-0311
US

V. Phone/Fax

Practice location:
  • Phone: 916-965-4000
  • Fax: 916-965-4813
Mailing address:
  • Phone: 916-965-4000
  • Fax: 916-965-4813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA15345
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: