Provider Demographics
NPI:1790721082
Name:TURBOW, BERNARD AARON (MD)
Entity Type:Individual
Prefix:
First Name:BERNARD
Middle Name:AARON
Last Name:TURBOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11100 WARNER AVE
Mailing Address - Street 2:STE 102
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-7506
Mailing Address - Country:US
Mailing Address - Phone:714-545-8481
Mailing Address - Fax:714-545-8009
Practice Address - Street 1:11100 WARNER AVE
Practice Address - Street 2:STE 102
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-7506
Practice Address - Country:US
Practice Address - Phone:714-545-8481
Practice Address - Fax:714-545-8009
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-22
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG7420208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B58145Medicare UPIN
G7420Medicare ID - Type Unspecified