MEDICARE: ELIZABETH TURNER

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	207R00000X	Internal Medicine Physician	A77908	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699880781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH TURNER

Provider Business Mailing Address
First Line	:	10833 LE CONTE AVE
Second Line	:	ROOM 37-131 CHS
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-1690
Country	:	US
Telephone Number	:	310-825-8599
Fax Number	:	310-206-8622

Provider Business Practice Location Address
First Line	:	10833 LE CONTE AVE
Second Line	:	ROOM 37-131 CHS
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-1690
Country	:	US
Telephone Number	:	310-825-8599
Fax Number	:	310-206-8622

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

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	11/29/2021

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Directions to “ ELIZABETH TURNER ” Practice Location

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