MEDICARE: DR. DIANA TURNER PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1609236918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DIANA TURNER PHD

Provider Business Mailing Address
First Line	:	13157 MINDANAO WAY STE 923
Second Line	:
City	:	MARINA DEL REY
State	:	CA
Zip	:	90292-6307
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 E TEMPLE ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-4024
Country	:	US
Telephone Number	:	999-999-9999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/29/2016
Last Update Date	:	11/17/2024

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