Provider Demographics
NPI:1861979361
Name:TOUPONCE, ANNABELLE C
Entity type:Individual
Prefix:
First Name:ANNABELLE
Middle Name:C
Last Name:TOUPONCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4225 OCEANSIDE BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-3473
Mailing Address - Country:US
Mailing Address - Phone:562-427-3897
Mailing Address - Fax:
Practice Address - Street 1:10815 RANCHO BERNARDO RD STE 370
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-5707
Practice Address - Country:US
Practice Address - Phone:760-610-0227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-26
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA838719163W00000X
CA95013894363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse