Healthcare Provider Details

I. General information

NPI: 1104737576
Provider Name (Legal Business Name): NATALIE B CASTILLO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27349 JEFFERSON AVE STE 204
TEMECULA CA
92590-5612
US

IV. Provider business mailing address

30300 ANTELOPE RD APT 728
MENIFEE CA
92584-9464
US

V. Phone/Fax

Practice location:
  • Phone: 951-466-3032
  • Fax:
Mailing address:
  • Phone: 909-218-0164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: