Healthcare Provider Details

I. General information

NPI: 1609394386
Provider Name (Legal Business Name): ALONDRA LIZETT CASTRO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2017
Last Update Date: 09/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12130 PARAMOUNT BLVD
DOWNEY CA
90242-2339
US

IV. Provider business mailing address

12130 PARAMOUNT BLVD
DOWNEY CA
90242-2339
US

V. Phone/Fax

Practice location:
  • Phone: 562-923-9414
  • Fax: 562-923-9451
Mailing address:
  • Phone: 562-923-9414
  • Fax: 562-923-9451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number77413
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: