Healthcare Provider Details

I. General information

NPI: 1336044320
Provider Name (Legal Business Name): IVONNE CASTANEDA HUICHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 N MCKINLEY AVE
OXNARD CA
93030-5436
US

IV. Provider business mailing address

154 N MCKINLEY AVE
OXNARD CA
93030-5436
US

V. Phone/Fax

Practice location:
  • Phone: 805-607-8538
  • Fax:
Mailing address:
  • Phone: 805-607-8538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: