Provider Demographics
NPI:1023243615
Name:TALAMANTES, MARIA E
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:E
Last Name:TALAMANTES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 WILSHIRE BLVD
Mailing Address - Street 2:SUIT 500
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-4303
Mailing Address - Country:US
Mailing Address - Phone:213-639-0299
Mailing Address - Fax:213-388-1473
Practice Address - Street 1:2500 WILSHIRE BLVD
Practice Address - Street 2:SUIT 500
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-4303
Practice Address - Country:US
Practice Address - Phone:213-639-0299
Practice Address - Fax:213-388-1473
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner