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NPI Code Detail

MEDICARE: MR. WILLIAM M TURNER JR. PA-C

MEDICARE: MR. WILLIAM M TURNER JR. PA-C
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
1363AS0400XSurgical Physician Assistant2162SC
2363AS0400XSurgical Physician Assistant2773AZ
3363AS0400XSurgical Physician AssistantPA19256CA

General Provider Information

NPI Number : 1295734150
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM M TURNER JR. PA-C
Provider Business Mailing Address
First Line : 2888 LONG BEACH BLVD STE 165
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-1561
Country : US
Telephone Number : 657-241-9052
Fax Number : 714-665-4663
Provider Business Practice Location Address
First Line : 2888 LONG BEACH BLVD STE 165
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-1561
Country : US
Telephone Number : 657-241-9052
Fax Number : 714-665-4663
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 05/05/2025

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