| Mauricio Jose Castillo, MD | |
|
8902 Woodman Ave, Arleta, CA 91331-6401 | |
| (818) 610-1643 | |
| Not Available |
| Full Name | Mauricio Jose Castillo |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 8902 Woodman Ave, Arleta, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508996000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A99115 (California) | Primary |
| Entity Name | El Proyecto Del Barrio Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770696023 PECOS PAC ID: 3476546227 Enrollment ID: O20040406001869 |
| Mailing Address | Practice Location Address |
|---|---|
| Mauricio Jose Castillo, MD 11550 Valerio St, North Hollywood, CA 91605-3931 Ph: (818) 967-0258 | Mauricio Jose Castillo, MD 8902 Woodman Ave, Arleta, CA 91331-6401 Ph: (818) 610-1643 |
Lusine Antinyan, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8953 Woodman Ave Ste 202, Arleta, CA 91331 Phone: 818-448-8737 | |
Leander Enriquez Manzano, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8902 Woodman Ave, Arleta, CA 91331 Phone: 818-830-7033 Fax: 818-830-7280 | |
Karen Cheryl Pascual Batugo, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13030 Chase St, Arleta, CA 91331 Phone: 818-397-8089 |