Healthcare Provider Details

I. General information

NPI: 1871243295
Provider Name (Legal Business Name): HAYLEY MACKENZIE TURNBOW DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 B GALE WILSON BLVD
FAIRFIELD CA
94533-3552
US

IV. Provider business mailing address

3315 WATT AVE
SACRAMENTO CA
95821-3600
US

V. Phone/Fax

Practice location:
  • Phone: 916-481-6800
  • Fax:
Mailing address:
  • Phone: 916-481-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number24526
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: