| Organization Name: | JOSE GABRIEL CASTELLANOS, MD, INC. |
| NPI Number: | 1073905105 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DARIO CASTELLANOS (CFO) |
| Mailing Address: | 605 E Badillo St Suite 110 Covina |
| State: | CA US |
| Postal Code: | 917232846 |
| Phone Number: | 6267329232 |
| Fax Number: | 6267329623 |
| NPI Enumeration Date: | 02/26/2015 |
| NPI Last Update Date: | 12/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | A62398 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |