Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | A52758 | CA |
N | 207QA0401X | Family Doctor - Addiction Medicine | A52758 | CA |
NPI | 1861485732 |
---|---|
Provider Name | Dr. Benita Lisa Cushingberry - Turner |
First Address | Bakersfield, CA 93306-2977 |
Second Address | Bakersfield, CA 93306-2977 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2005 |
Last Update Date | 16/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A527580 | (05) | CA |
G11040 | (02) | CA |