1619337896 NPI number — TOP HEALTHCARE INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619337896 NPI number — TOP HEALTHCARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOP HEALTHCARE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619337896
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/05/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2613 ROADRUNNER DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LA VERNE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91750-2350
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-922-6896
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1811 S DEL MAR AVE STE 102
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN GABRIEL
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91776-4131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-838-2367
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/01/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ZHOU
Authorized Official First Name:
YIFU
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF REHABILITATION
Authorized Official Telephone Number:
512-922-6896

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)