Provider Demographics
NPI:1356524508
Name:RUTH TOPACIO MD INC
Entity type:Organization
Organization Name:RUTH TOPACIO MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLER
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-866-0894
Mailing Address - Street 1:9604 E ARTESIA BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-8043
Mailing Address - Country:US
Mailing Address - Phone:562-866-0894
Mailing Address - Fax:562-866-8407
Practice Address - Street 1:18212 SAN GABRIEL AVE
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-8031
Practice Address - Country:US
Practice Address - Phone:562-866-0894
Practice Address - Fax:562-866-8407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA44817207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A448170Medicaid
CAWA44817AMedicare PIN
CA00A448170Medicaid
CAF12048Medicare UPIN