Provider Demographics
NPI:1003299520
Name:TOPUZOGLU, ANNA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:TOPUZOGLU
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:RIVERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3400 CENTRAL AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-2181
Mailing Address - Country:US
Mailing Address - Phone:323-819-5713
Mailing Address - Fax:951-944-2351
Practice Address - Street 1:3400 CENTRAL AVE STE 310
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2181
Practice Address - Country:US
Practice Address - Phone:323-819-5713
Practice Address - Fax:951-944-2351
Is Sole Proprietor?:No
Enumeration Date:2015-07-01
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA115083101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA750935Medicaid