Healthcare Provider Details

I. General information

NPI: 1760304547
Provider Name (Legal Business Name): IAN THOMAS-GARRETT TURLEY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12655 W WASHINGTON BLVD STE 205
LOS ANGELES CA
90066-2395
US

IV. Provider business mailing address

PO BOX 1251
TOPANGA CA
90290-1251
US

V. Phone/Fax

Practice location:
  • Phone: 310-430-0478
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number20482
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: