Provider Demographics
NPI:1366441164
Name:TURNER, TECOA N (DO)
Entity Type:Individual
Prefix:DR
First Name:TECOA
Middle Name:N
Last Name:TURNER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 S ANAHEIM HILLS RD STE 110
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-4762
Mailing Address - Country:US
Mailing Address - Phone:714-282-2229
Mailing Address - Fax:
Practice Address - Street 1:500 S ANAHEIM HILLS RD STE 110
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807
Practice Address - Country:US
Practice Address - Phone:714-282-2229
Practice Address - Fax:877-794-9299
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9557208000000X
NY234480208000000X
CA20A16419208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY091221000060OtherFIDELIS
NYPRC2002206219OtherCDPHP
NY7118720OtherAETNA
NY144265OtherGHI/HMO
NY02876126Medicaid
NY000413689002OtherBSNENY
NY056ZV1OtherEMPIRE BLUECROSS
NY4159538OtherMVP HEALTHCARE
NY091221000060OtherFIDELIS