Doctor Name: | DR. REUBEN CARLOS CASTILLO |
NPI Number: | 1336239201 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., J.D. |
License Number: | A056105 |
Business Practice Address: | 126 Avocado Ave Suite 106 Perris, CA - 925712605 |
Business Phone Number: | 9519437212 |
Business Fax Number: | 9519430139 |
Mailing Address: | 391 Wilkerson Ave, Suite C PERRIS |
State: | CA |
Postal Code: | 925702254 |
Phone Number: | 9519437212 |
Fax Number: | 9519430139 |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 09/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A056105 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |