Provider Demographics
NPI:1942689054
Name:TURNER, DANIEL
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:TURNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7277 HAYVENHURST AVE
Mailing Address - Street 2:STE. B-14
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-2860
Mailing Address - Country:US
Mailing Address - Phone:818-782-3637
Mailing Address - Fax:818-782-3637
Practice Address - Street 1:7277 HAYVENHURST AVE
Practice Address - Street 2:STE. B-14
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-2860
Practice Address - Country:US
Practice Address - Phone:818-782-3637
Practice Address - Fax:818-782-3637
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-21
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA954421998Medicaid