Healthcare Provider Details

I. General information

NPI: 1942140983
Provider Name (Legal Business Name): NURY CASTELLON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

907 W LANCASTER BLVD
LANCASTER CA
93534-2305
US

IV. Provider business mailing address

10708 E AVENUE R4
LITTLEROCK CA
93543-1314
US

V. Phone/Fax

Practice location:
  • Phone: 818-654-3887
  • Fax: 818-975-5069
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: