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NPI Code Detail

MEDICARE: MATTHEW TOPPER

MEDICARE:   MATTHEW  TOPPER
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
1171W00000XContractor

General Provider Information

NPI Number : 1942627765
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW TOPPER
Provider Business Mailing Address
First Line : 2254 SAN DIEGO AVE
Second Line : SUITE 200
City : SAN DIEGO
State : CA
Zip : 92110-2944
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2254 SAN DIEGO AVE
Second Line : SUITE 200
City : SAN DIEGO
State : CA
Zip : 92110-2944
Country : US
Telephone Number : 619-260-6110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2014
Last Update Date : 03/19/2014

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Directions to “ MATTHEW TOPPER ” Practice Location

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