Healthcare Provider Details

I. General information

NPI: 1285081976
Provider Name (Legal Business Name): HULNARA CASTELLON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2016
Last Update Date: 02/14/2020
Certification Date: 02/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14622 VENTURA BLVD STE 118
SHERMAN OAKS CA
91403-3664
US

IV. Provider business mailing address

14622 VENTURA BLVD STE 118
SHERMAN OAKS CA
91403-3664
US

V. Phone/Fax

Practice location:
  • Phone: 818-783-3600
  • Fax:
Mailing address:
  • Phone: 818-783-3600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95005627
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: