Healthcare Provider Details

I. General information

NPI: 1801120407
Provider Name (Legal Business Name): CHRISTIAN CASTANEDA MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2009
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10031 HASKELL AVE
NORTH HILLS CA
91343-1505
US

IV. Provider business mailing address

10031 HASKELL AVE
NORTH HILLS CA
91343-1505
US

V. Phone/Fax

Practice location:
  • Phone: 562-208-7216
  • Fax:
Mailing address:
  • Phone: 562-208-7216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number74617
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number74617
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number74617
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: