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Jose Jeffrey Cruz Topico

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

757 Westwood Plz, Los Angeles, CA 90095-0010

PECOS Enrollment

This provider is enrolled in PECOS as JOSE JEFFREY TOPICO.

Based on the most recent information from CMS, provider Jose Jeffrey Cruz Topico is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1831658145
Provider Type
Individual
Full Name
Topico, Jose Jeffrey Cruz
Credential
CRNP

Gender
Male
Sole Proprietor
No
Enumeration Date
3/16/2019
Last Updated
5/17/2022

Contact Information

Practice Location

757 Westwood Plz, Los Angeles, CA 90095-0010

(310) 825-9111

Unlisted Fax

Mailing Location

5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

(310) 301-5138

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 95019150 California
Code 363LA2100X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License R166452 Maryland

Jose Jeffrey Cruz Topico

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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