Mauricio Jose Castillo, MD | |
8902 Woodman Ave, Arleta, CA 91331-6401 | |
(818) 610-1643 | |
Not Available |
Full Name | Mauricio Jose Castillo |
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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 |
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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 |
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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 | |
Christina Tamsatit, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14131 Terra Bella St, Arleta, CA 91331 Phone: 818-470-8446 |