| Doctor Name: | MR. MIGUEL A CASTUERA |
| NPI Number: | 1679769897 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA13087 |
| Business Practice Address: | 4451 Holt Blvd Montclair, CA - 917634116 |
| Business Phone Number: | 9096243033 |
| Business Fax Number: | 9096248440 |
| Mailing Address: | 4451 Holt Blvd, MONTCLAIR |
| State: | CA |
| Postal Code: | 917634116 |
| Phone Number: | 9096243033 |
| Fax Number: | 9096248440 |
| NPI Enumeration Date: | 09/20/2007 |
| NPI Last Update Date: | 09/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | PA13087 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |