Healthcare Provider Details

I. General information

NPI: 1831335132
Provider Name (Legal Business Name): CHARLES D TUREK M D INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2008
Last Update Date: 12/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23600 TELO AVE SUITE 180
TORRANCE CA
90505-4035
US

IV. Provider business mailing address

23600 TELO AVE SUITE 180
TORRANCE CA
90505-4035
US

V. Phone/Fax

Practice location:
  • Phone: 310-257-1500
  • Fax: 310-257-1508
Mailing address:
  • Phone: 310-257-1500
  • Fax: 310-257-1508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG19674
License Number StateCA

VIII. Authorized Official

Name: DR. CHARLES D TUREK
Title or Position: OWNNER /PRESIDENT
Credential: M.D.
Phone: 310-257-1500