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NPI 1285777813

NPI 1285777813 : ROBERT M CASTRO DO : SANTA ANA, CA

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General NPI Number Information
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    NPI Number           |    1285777813
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT M CASTRO DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/14/2007
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    Last Update Date     |    05/27/2015
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Provider Practice Location Address
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    Address Line         |    2621 S BRISTOL ST SUITE 108
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    City                 |    SANTA ANA
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    State                |    CA
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    Zip                  |    92704-5766
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    Country              |    US
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    Telephone            |    714-754-1684
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    Fax                  |    714-966-0417
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Provider Business Mailing Address
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    Address Line         |    1358 PIERRE RD 
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    City                 |    WALNUT
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    State                |    CA
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    Zip                  |    91789-4476
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    Country              |    US
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    Telephone            |    626-765-7297
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    Fax                  |    877-991-4809
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    20A9770
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    20A9770
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    License Number State |    CA
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