Healthcare Provider Details

I. General information

NPI: 1104966126
Provider Name (Legal Business Name): ATUR VIKRAM TURAKHIA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 W METROPOLITAN DR STE 404
ORANGE CA
92868-3504
US

IV. Provider business mailing address

405 W 5TH ST STE 590
SANTA ANA CA
92701-4599
US

V. Phone/Fax

Practice location:
  • Phone: 714-645-8045
  • Fax: 714-634-2029
Mailing address:
  • Phone: 714-824-1895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA100063
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA100063
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: