Doctor Name: | DORINA R. CASTELO |
NPI Number: | 1295910701 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | A50199 |
Business Practice Address: | 4318 South St Lakewood, CA - 907121152 |
Business Phone Number: | 5625295200 |
Business Fax Number: | 5625295222 |
Mailing Address: | 4318 South St, LAKEWOOD |
State: | CA |
Postal Code: | 907121152 |
Phone Number: | 5625295200 |
Fax Number: | 5625295222 |
NPI Enumeration Date: | 01/02/2008 |
NPI Last Update Date: | 10/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A50199 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |