Healthcare Provider Details

I. General information

NPI: 1356771265
Provider Name (Legal Business Name): TOPDOCS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2013
Last Update Date: 11/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

627 W AVENUE Q SUITE C
PALMDALE CA
93551-3891
US

IV. Provider business mailing address

627 W AVENUE Q SUITE C
PALMDALE CA
93551-3891
US

V. Phone/Fax

Practice location:
  • Phone: 661-272-0400
  • Fax: 661-438-0253
Mailing address:
  • Phone: 661-272-0400
  • Fax: 661-438-0253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANIL R DATE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 661-272-0400