MEDICARE: DR. NICOLE TOPILOW MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207W00000X	Ophthalmology Physician	A171573	CA

General Provider Information

NPI Number	:	1215468376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICOLE TOPILOW MD

Provider Business Mailing Address
First Line	:	PO BOX 232410
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92193-2410
Country	:	US
Telephone Number	:	800-926-8273
Fax Number	:

Provider Business Practice Location Address
First Line	:	5330 CARROLL CANYON RD STE 210
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-3758
Country	:	US
Telephone Number	:	858-450-1010
Fax Number	:	858-450-9451

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2017
Last Update Date	:	10/15/2024

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Directions to “ DR. NICOLE TOPILOW MD” Practice Location

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