Provider Demographics
NPI:1023630704
Name:DAVALOS, ROBERTO II (BSKIN)
Entity type:Individual
Prefix:MR
First Name:ROBERTO
Middle Name:
Last Name:DAVALOS
Suffix:II
Gender:M
Credentials:BSKIN
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5060 CALIFORNIA AVE STE 610
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-7073
Mailing Address - Country:US
Mailing Address - Phone:661-258-0800
Mailing Address - Fax:855-568-2494
Practice Address - Street 1:5060 CALIFORNIA AVE STE 610
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-7073
Practice Address - Country:US
Practice Address - Phone:661-258-0800
Practice Address - Fax:855-568-2494
Is Sole Proprietor?:No
Enumeration Date:2020-05-15
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist