Healthcare Provider Details

I. General information

NPI: 1346771219
Provider Name (Legal Business Name): TOP CARE MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2017
Last Update Date: 03/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1103 S HARBOR BLVD SUITE F
SANTA ANA CA
92704-2347
US

IV. Provider business mailing address

1103 S HARBOR BLVD SUITE F
SANTA ANA CA
92704-2347
US

V. Phone/Fax

Practice location:
  • Phone: 714-884-3062
  • Fax:
Mailing address:
  • Phone: 714-884-3062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberA97825
License Number StateCA

VIII. Authorized Official

Name: NEIL SONI
Title or Position: CEO
Credential:
Phone: 714-884-3062