Healthcare Provider Details

I. General information

NPI: 1306933890
Provider Name (Legal Business Name): TURRILL, SHADER & MYLES, M.D.'S, A PROFESSIONAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 ARDEN AVE SUITE 550
GLENDALE CA
91203-1130
US

IV. Provider business mailing address

435 ARDEN AVE SUITE 550
GLENDALE CA
91203-1130
US

V. Phone/Fax

Practice location:
  • Phone: 818-241-1141
  • Fax: 818-459-0437
Mailing address:
  • Phone: 818-241-1141
  • Fax: 818-459-0437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD A MYLES
Title or Position: PRESIDENT
Credential: M.D.
Phone: 818-241-1141