MEDICARE: TRANEAKA RASHON TURNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	129158	CA
2	106H00000X	Marriage & Family Therapist	107537	CA

General Provider Information

NPI Number	:	1215419601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRANEAKA RASHON TURNER

Provider Business Mailing Address
First Line	:	2120 E 17TH ST # 1053
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-8607
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 W EL SEGUNDO BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90061-1628
Country	:	US
Telephone Number	:	310-901-2284
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2018
Last Update Date	:	05/07/2024

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