Healthcare Provider Details

I. General information

NPI: 1598865305
Provider Name (Legal Business Name): ERLINDA GUZON-CASTRO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11201 BENTON ST
LOMA LINDA CA
92357-1000
US

IV. Provider business mailing address

1632 COUNTRY CLUB DR
REDLANDS CA
92373-7342
US

V. Phone/Fax

Practice location:
  • Phone: 909-825-7084
  • Fax:
Mailing address:
  • Phone: 909-793-3048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberE9216
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: