Healthcare Provider Details
I. General information
NPI: 1477461937
Provider Name (Legal Business Name): CAST SILICON VALLEY CORP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
790 ALMA LN UNIT 308
FOSTER CITY CA
94404-2278
US
IV. Provider business mailing address
790 ALMA LN UNIT 308
FOSTER CITY CA
94404-2278
US
V. Phone/Fax
- Phone: 650-533-0042
- Fax:
- Phone: 650-533-0042
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YEUN
KONG
Title or Position: OWNER
Credential:
Phone: 650-533-0042