Provider Demographics
NPI:1700987617
Name:TOPPING, DAVID JOHNATHAN (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:JOHNATHAN
Last Name:TOPPING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17451 BASTANCHURY RD
Mailing Address - Street 2:SUITE 104D
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-1857
Mailing Address - Country:US
Mailing Address - Phone:714-572-1784
Mailing Address - Fax:714-572-3921
Practice Address - Street 1:17451 BASTANCHURY RD
Practice Address - Street 2:SUITE 104D
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-1857
Practice Address - Country:US
Practice Address - Phone:714-572-1784
Practice Address - Fax:714-572-3921
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC14789111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA33-0004042OtherTAX ID
CADC14789Medicare PIN