Provider Demographics
NPI:1659673150
Name:TOPOOZIAN, ELENA L (OTR/L)
Entity Type:Individual
Prefix:
First Name:ELENA
Middle Name:L
Last Name:TOPOOZIAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ELENA
Other - Middle Name:L
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1125 W. 6TH ST.
Mailing Address - Street 2:SUITE #302
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017
Mailing Address - Country:US
Mailing Address - Phone:213-481-2066
Mailing Address - Fax:213-481-1959
Practice Address - Street 1:1125 W. 6TH ST.
Practice Address - Street 2:SUITE #302
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017
Practice Address - Country:US
Practice Address - Phone:213-481-2066
Practice Address - Fax:213-481-1959
Is Sole Proprietor?:No
Enumeration Date:2010-12-03
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT6038225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWN502542AMedicare PIN