Healthcare Provider Details

I. General information

NPI: 1760491344
Provider Name (Legal Business Name): ERIC J. CASTLEMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2841 LOMITA BLVD STE. 100
TORRANCE CA
90505-5105
US

IV. Provider business mailing address

1360 W 6TH ST STE 315
SAN PEDRO CA
90732-3581
US

V. Phone/Fax

Practice location:
  • Phone: 310-257-0508
  • Fax: 310-325-8109
Mailing address:
  • Phone: 310-547-9922
  • Fax: 310-547-4673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberG43363
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberG43363
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: