Provider Demographics
NPI:1538356902
Name:CHURUKIAN, TALENE MARY (DO)
Entity type:Individual
Prefix:DR
First Name:TALENE
Middle Name:MARY
Last Name:CHURUKIAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:41990 COOK ST STE 102
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-6101
Mailing Address - Country:US
Mailing Address - Phone:760-773-1411
Mailing Address - Fax:760-773-4398
Practice Address - Street 1:41990 COOK ST STE 102
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-6101
Practice Address - Country:US
Practice Address - Phone:760-773-1411
Practice Address - Fax:760-773-4398
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2021-05-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA2OA9346207R00000X
CA20A9346207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine