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1700839917 NPI number — GREGORY CASTILLO MD.

NPI Number: 1700839917
Health Care Provider/Practitioner: GREGORY CASTILLO MD.

Information about “1700839917” NPI (GREGORY CASTILLO MD.) exists in 1700839917 in HTML format HTML  |  1700839917 in plain Text format TXT  |  1700839917 in PDF (Portable Document Format) PDF  |  1700839917 in an XML format XML  formats.

NPI Number : 1700839917 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700839917",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CASTILLO",
    "FirstName": "GREGORY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 275",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ARTESIA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90702-0275",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "562-622-2823",
    "MailingAddressFaxNumber": "562-977-4220",
    "FirstLinePracticeLocationAddress": "9040 TELEGRAPH RD STE 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DOWNEY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90240-2395",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "562-861-0954",
    "PracticeLocationAddressFaxNumber": "562-231-1906",
    "EnumerationDate": "05/18/2006",
    "LastUpdateDate": "03/07/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "A53294",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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