Provider Demographics
NPI:1245769140
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 STE 102
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-7500
Mailing Address - Country:US
Mailing Address - Phone:714-545-8481
Mailing Address - Fax:714-545-8009
Practice Address - Street 1:11100 WARNER AVE STE 102
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-7500
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:2017-06-06
Last Update Date:2017-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG7420208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty