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General NPI Number Information
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NPI Number | 1700839917
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Entity Type | Individual
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Provider Name | GREGORY CASTILLO MD.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 9040 TELEGRAPH RD STE 102
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City | DOWNEY
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State | CA
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Zip | 90240-2395
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Country | US
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Telephone | 562-861-0954
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Fax | 562-231-1906
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Provider Business Mailing Address
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Address Line | PO BOX 275
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City | ARTESIA
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State | CA
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Zip | 90702-0275
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Country | US
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Telephone | 562-622-2823
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Fax | 562-977-4220
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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 | A53294
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License Number State | CA
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