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NPI Code Detail

MEDICARE: MONICA CASTRO CHW

MEDICARE:   MONICA  CASTRO  CHW
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1750153805
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA CASTRO CHW
Provider Business Mailing Address
First Line : 7946 CITADEL CT
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-3036
Country : US
Telephone Number : 951-901-5925
Fax Number :
Provider Business Practice Location Address
First Line : 3400 CENTRAL AVE STE 230
Second Line :
City : RIVERSIDE
State : CA
Zip : 92506-2176
Country : US
Telephone Number : 951-781-6335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2023
Last Update Date : 10/23/2023

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Directions to “ MONICA CASTRO CHW” Practice Location

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