Provider Demographics
NPI:1073789996
Name:TURNER, SUCHANDRA P (MD)
Entity Type:Individual
Prefix:DR
First Name:SUCHANDRA
Middle Name:P
Last Name:TURNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 E SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-4631
Mailing Address - Country:US
Mailing Address - Phone:562-728-9600
Mailing Address - Fax:562-422-9011
Practice Address - Street 1:273 E SOUTH ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-4631
Practice Address - Country:US
Practice Address - Phone:562-728-9600
Practice Address - Fax:562-422-9011
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36774208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice