Provider Demographics
NPI:1164753455
Name:THE MEDICAL REJUVANATION CLINIC OF DR. DUNCAN TURNER INC.
Entity Type:Organization
Organization Name:THE MEDICAL REJUVANATION CLINIC OF DR. DUNCAN TURNER INC.
Other - Org Name:TURNER MEDICAL ARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OB/GYN
Authorized Official - Prefix:MR
Authorized Official - First Name:DUNCAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-962-1957
Mailing Address - Street 1:737 GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-1505
Mailing Address - Country:US
Mailing Address - Phone:805-962-1957
Mailing Address - Fax:805-966-3428
Practice Address - Street 1:737 GARDEN ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-1505
Practice Address - Country:US
Practice Address - Phone:805-962-1957
Practice Address - Fax:805-966-3428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-26
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAT8433194261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility