Provider Demographics
NPI:1831335132
Name:CHARLES D TUREK M D INC
Entity type:Organization
Organization Name:CHARLES D TUREK M D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNNER /PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:D
Authorized Official - Last Name:TUREK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-257-1500
Mailing Address - Street 1:23600 TELO AVE
Mailing Address - Street 2:SUITE 180
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4035
Mailing Address - Country:US
Mailing Address - Phone:310-257-1500
Mailing Address - Fax:310-257-1508
Practice Address - Street 1:23600 TELO AVE
Practice Address - Street 2:SUITE 180
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4035
Practice Address - Country:US
Practice Address - Phone:310-257-1500
Practice Address - Fax:310-257-1508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG19674174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA40179Medicare UPIN