Healthcare Provider Details
I. General information
NPI: 1306088018
Provider Name (Legal Business Name): YULIYA TURIY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/26/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
790 E WILLOW ST SUITE 150
LONG BEACH CA
90806-2703
US
IV. Provider business mailing address
3080 BRISTOL ST SUITE 600
COSTA MESA CA
92626-3093
US
V. Phone/Fax
- Phone: 714-445-0228
- Fax: 714-445-0246
- Phone: 714-445-0228
- Fax: 714-445-0246
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | A108764 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0202X |
| Taxonomy | Pediatric Cardiology Physician |
| License Number | A108764 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: