Provider Demographics
NPI:1073948642
Name:TURNER, LINN (MD)
Entity type:Individual
Prefix:DR
First Name:LINN
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:849 N KAREN WAY
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-5009
Mailing Address - Country:US
Mailing Address - Phone:562-646-7372
Mailing Address - Fax:562-646-7372
Practice Address - Street 1:849 N KAREN WAY
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-5009
Practice Address - Country:US
Practice Address - Phone:562-646-7372
Practice Address - Fax:562-646-7372
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG13838174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD0007Medicare UPIN