Provider Demographics
NPI:1295800456
Name:TURKO, DARRIN EUGENE (PAC)
Entity type:Individual
Prefix:MR
First Name:DARRIN
Middle Name:EUGENE
Last Name:TURKO
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:MR
Other - First Name:DARRIN
Other - Middle Name:EUGENE
Other - Last Name:TURKO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:10418 VALLEY BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-3600
Mailing Address - Country:US
Mailing Address - Phone:626-453-8466
Mailing Address - Fax:
Practice Address - Street 1:10418 VALLEY BLVD STE B
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-3600
Practice Address - Country:US
Practice Address - Phone:626-453-8466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA14648363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant