Provider Demographics
NPI:1437285152
Name:TURBOW, MARVIN EUGENE (MD, PHD, FACC, INC)
Entity Type:Individual
Prefix:DR
First Name:MARVIN
Middle Name:EUGENE
Last Name:TURBOW
Suffix:
Gender:M
Credentials:MD, PHD, FACC, INC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11190 WARNER AVE
Mailing Address - Street 2:SUITE 408
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-4019
Mailing Address - Country:US
Mailing Address - Phone:714-546-2238
Mailing Address - Fax:714-434-8145
Practice Address - Street 1:11190 WARNER AVE
Practice Address - Street 2:SUITE 408
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4019
Practice Address - Country:US
Practice Address - Phone:714-546-2238
Practice Address - Fax:714-434-8145
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG33043174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAYYY49298YMedicaid
CAYYY49298YMedicaid
CAW5045Medicare ID - Type Unspecified