Provider Demographics
NPI:1447522974
Name:IVAN M TURPIN, M.D., INC.
Entity type:Organization
Organization Name:IVAN M TURPIN, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:F
Authorized Official - Last Name:WESTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-997-4300
Mailing Address - Street 1:1310 W STEWART DR
Mailing Address - Street 2:SUITE 610
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3854
Mailing Address - Country:US
Mailing Address - Phone:714-997-4300
Mailing Address - Fax:714-997-5759
Practice Address - Street 1:1310 W STEWART DR
Practice Address - Street 2:SUITE 610
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3854
Practice Address - Country:US
Practice Address - Phone:714-997-4300
Practice Address - Fax:714-997-5759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG227542086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G227540Medicaid
CA1407815996OtherNPI TYPE ONE
CAA41709Medicare UPIN
CA1407815996OtherNPI TYPE ONE