Provider Demographics
NPI:1760420962
Name:TOPACIO, RUTH GARCIA (MD)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:GARCIA
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 1:18212 SAN GABRIEL AVE
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-8031
Mailing Address - Country:US
Mailing Address - Phone:562-866-0894
Mailing Address - Fax:562-866-8407
Practice Address - Street 1:9604 ARTESIA BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-8039
Practice Address - Country:US
Practice Address - Phone:562-866-0894
Practice Address - Fax:562-866-8407
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA44817173000000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered173000000XOther Service ProvidersLegal Medicine
Not Answered174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A448170Medicaid
CAF12048Medicare UPIN
CA00A448170Medicaid