Provider Demographics
NPI:1164915930
Name:TURNER, ANGEL J
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:J
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30123 TECHNOLOGY DR
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-2657
Mailing Address - Country:US
Mailing Address - Phone:951-600-6274
Mailing Address - Fax:951-600-6280
Practice Address - Street 1:30123 TECHNOLOGY DR
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-2657
Practice Address - Country:US
Practice Address - Phone:951-600-6274
Practice Address - Fax:951-600-6280
Is Sole Proprietor?:No
Enumeration Date:2018-06-07
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator