Provider Demographics
NPI:1548536683
Name:BERNARD TURBOW, M.D., INC.
Entity type:Organization
Organization Name:BERNARD TURBOW, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:TURBOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-545-8481
Mailing Address - Street 1:11100 WARNER AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-7506
Mailing Address - Country:US
Mailing Address - Phone:714-545-8481
Mailing Address - Fax:714-545-8009
Practice Address - Street 1:11100 WARNER AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-7506
Practice Address - Country:US
Practice Address - Phone:714-545-8481
Practice Address - Fax:714-545-8009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-22
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB58145Medicare UPIN