Healthcare Provider Details

I. General information

NPI: 1699692426
Provider Name (Legal Business Name): DANIA MAZEN TURKIEH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 DALE RD
MODESTO CA
95356-9767
US

IV. Provider business mailing address

1350 3RD AVE RM A
SAN FRANCISCO CA
94122-2719
US

V. Phone/Fax

Practice location:
  • Phone: 209-284-6343
  • Fax:
Mailing address:
  • Phone:
  • Fax: 209-300-3290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number53575
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: