Provider Demographics
NPI:1033266465
Name:TURPIN, ROLAND GENE (HAD - BC-HIS)
Entity Type:Individual
Prefix:MR
First Name:ROLAND
Middle Name:GENE
Last Name:TURPIN
Suffix:
Gender:M
Credentials:HAD - BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28241 WAR ADMIRAL ST
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555-6015
Mailing Address - Country:US
Mailing Address - Phone:951-486-9406
Mailing Address - Fax:
Practice Address - Street 1:23800 SUNNYMEAD BLVD
Practice Address - Street 2:UNIT C
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-7731
Practice Address - Country:US
Practice Address - Phone:951-601-2227
Practice Address - Fax:951-601-2228
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA1667237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist