Healthcare Provider Details

I. General information

NPI: 1811298516
Provider Name (Legal Business Name): MARIA O ORTIZ CASTILLO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIA OLIVIA ORTIZ CASTILLO M.D.

II. Dates (important events)

Enumeration Date: 11/11/2010
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W CALIFORNIA BLVD
PASADENA CA
91105-3010
US

IV. Provider business mailing address

PO BOX 512185
LOS ANGELES CA
90051-0185
US

V. Phone/Fax

Practice location:
  • Phone: 626-397-8300
  • Fax:
Mailing address:
  • Phone: 626-256-4673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA121001
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA121001
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: