Provider Demographics
NPI:1003248972
Name:STYLER, RICHARD L (DC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:L
Last Name:STYLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44847 PORTOLA AVE STE B
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-3703
Mailing Address - Country:US
Mailing Address - Phone:760-340-4157
Mailing Address - Fax:888-636-9047
Practice Address - Street 1:44847 PORTOLA AVE STE B
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-3703
Practice Address - Country:US
Practice Address - Phone:760-340-4157
Practice Address - Fax:888-636-9047
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-02
Last Update Date:2017-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20417111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA115194Medicare UPIN