Doctor Name: | MARIA DEL CARMEN CASTILLO |
NPI Number: | 1003051954 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | RN403433 |
Business Practice Address: | 9723 E. Maxine St Pico Rivera, CA - 906605308 |
Business Phone Number: | 5629491440 |
Business Fax Number: | |
Mailing Address: | 9723 Maxine St, PICO RIVERA |
State: | CA |
Postal Code: | 906605308 |
Phone Number: | 5629491440 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2008 |
NPI Last Update Date: | 09/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | RN403433 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |