Provider Demographics
NPI:1245231521
Name:TOPACIO, SALVACION UYGUANCO (MD)
Entity Type:Individual
Prefix:MRS
First Name:SALVACION
Middle Name:UYGUANCO
Last Name:TOPACIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19006 SABRINA AVE
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-7359
Mailing Address - Country:US
Mailing Address - Phone:562-920-8405
Mailing Address - Fax:562-920-6779
Practice Address - Street 1:9620 ALONDRA BLVD
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706
Practice Address - Country:US
Practice Address - Phone:562-920-8405
Practice Address - Fax:562-920-6779
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA25369207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASA 00A253690 20OtherBLUE SHEILD
CA00A253691Medicaid
CA00A253691OtherCHDP
CA00A253691Medicaid
CASA 00A253690 20OtherBLUE SHEILD