Healthcare Provider Details

I. General information

NPI: 1578478228
Provider Name (Legal Business Name): SETH TURNER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 W ORANGEBURG AVE
MODESTO CA
95350-4044
US

IV. Provider business mailing address

323 GEMSTONE LN
RIPON CA
95366-9804
US

V. Phone/Fax

Practice location:
  • Phone: 209-574-8600
  • Fax:
Mailing address:
  • Phone: 209-479-2325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number24987
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: