Healthcare Provider Details

I. General information

NPI: 1932665437
Provider Name (Legal Business Name): TOP CARE MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2019
Last Update Date: 02/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 ALUM ROCK AVE STE 20
SAN JOSE CA
95127-5608
US

IV. Provider business mailing address

2222 LAFAYETTE ST
SANTA CLARA CA
95050-2904
US

V. Phone/Fax

Practice location:
  • Phone: 408-307-0560
  • Fax: 408-988-0112
Mailing address:
  • Phone: 408-307-0560
  • Fax: 408-988-0112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. NGA NGUYEN
Title or Position: CEO
Credential:
Phone: 408-307-0560