Healthcare Provider Details

I. General information

NPI: 1013840099
Provider Name (Legal Business Name): ANGELA YANIRA CASTRO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 CHILDRENS WAY
SAN DIEGO CA
92123-4223
US

IV. Provider business mailing address

1445 WASHINGTON ST APT 403
SAN DIEGO CA
92103-2246
US

V. Phone/Fax

Practice location:
  • Phone: 858-576-1700
  • Fax:
Mailing address:
  • Phone: 760-712-8520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH-88645
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: