Healthcare Provider Details

I. General information

NPI: 1376022012
Provider Name (Legal Business Name): PAYERSDIRECT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2018
Last Update Date: 08/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11845 W OLYMPIC BLVD STE 1100W
LOS ANGELES CA
90064
US

IV. Provider business mailing address

PO BOX 491609
LOS ANGELES CA
90049-8609
US

V. Phone/Fax

Practice location:
  • Phone: 310-954-9543
  • Fax:
Mailing address:
  • Phone: 310-954-9543
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD TURKANIS
Title or Position: CEO
Credential: MD
Phone: 310-954-9543