Healthcare Provider Details

I. General information

NPI: 1518233402
Provider Name (Legal Business Name): PAUL H. TUREK DC CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2012
Last Update Date: 03/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27725 SANTA MARGARITA PKWY SUITE 100
MISSION VIEJO CA
92691-6704
US

IV. Provider business mailing address

27725 SANTA MARGARITA PKWY SUITE 100
MISSION VIEJO CA
92691-6704
US

V. Phone/Fax

Practice location:
  • Phone: 949-837-8009
  • Fax: 949-837-0751
Mailing address:
  • Phone: 949-837-8009
  • Fax: 949-837-0751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberDC23131
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberDC23131
License Number StateCA

VIII. Authorized Official

Name: PAUL H TUREK
Title or Position: PRESIDENT
Credential: D.C.
Phone: 949-837-8009