Provider Demographics
NPI:1649810672
Name:TALAMANTES, SKYLER REY (DC)
Entity type:Individual
Prefix:DR
First Name:SKYLER
Middle Name:REY
Last Name:TALAMANTES
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 1:9011 SUNDANCE CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-2504
Mailing Address - Country:US
Mailing Address - Phone:970-571-0864
Mailing Address - Fax:
Practice Address - Street 1:16776 BERNARDO CENTER DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2534
Practice Address - Country:US
Practice Address - Phone:858-673-1733
Practice Address - Fax:858-673-1068
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-07
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34705111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor