Provider Demographics
NPI:1952371973
Name:TOURGEMAN, DAVID ESTEBAN (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ESTEBAN
Last Name:TOURGEMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:333 S ARROYO PKWY
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-2515
Mailing Address - Country:US
Mailing Address - Phone:626-440-9161
Mailing Address - Fax:626-585-1603
Practice Address - Street 1:11500 W OLYMPIC BLVD
Practice Address - Street 2:SUITE 504
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-1524
Practice Address - Country:US
Practice Address - Phone:310-481-0881
Practice Address - Fax:310-481-9017
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA54692207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA54692OtherMEDICAL LICENSE