Provider Demographics
NPI:1558177576
Name:TURNER, JEFFREY CHANDLER (HIS)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:CHANDLER
Last Name:TURNER
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2895 LOMA VISTA RD STE D
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-1527
Mailing Address - Country:US
Mailing Address - Phone:805-648-5143
Mailing Address - Fax:
Practice Address - Street 1:2895 LOMA VISTA RD STE D
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-1527
Practice Address - Country:US
Practice Address - Phone:805-648-5143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA9049237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist