Healthcare Provider Details

I. General information

NPI: 1295734150
Provider Name (Legal Business Name): WILLIAM M TURNER JR. PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2005
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2888 LONG BEACH BLVD STE 165
LONG BEACH CA
90806-1561
US

IV. Provider business mailing address

2888 LONG BEACH BLVD STE 165
LONG BEACH CA
90806-1561
US

V. Phone/Fax

Practice location:
  • Phone: 657-241-9052
  • Fax: 714-665-4663
Mailing address:
  • Phone: 657-241-9052
  • Fax: 714-665-4663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number2162
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number2773
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA19256
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: