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NPI Code Detail

MEDICARE: CAROLINE CASTRO COTA

MEDICARE:   CAROLINE  CASTRO  COTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant2347CA

General Provider Information

NPI Number : 1568701696
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE CASTRO COTA
Provider Business Mailing Address
First Line : 8361 SAN MARINO DR
Second Line :
City : BUENA PARK
State : CA
Zip : 90620-3010
Country : US
Telephone Number : 714-686-3989
Fax Number :
Provider Business Practice Location Address
First Line : 330 GOLDEN SHR
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-4246
Country : US
Telephone Number : 866-414-0448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2013
Last Update Date : 02/08/2013

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Directions to “ CAROLINE CASTRO COTA” Practice Location

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