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NPI Code Detail

MEDICARE: YELBA MARIAHELI CASTELLON-LOPEZ M.D.

MEDICARE:   YELBA MARIAHELI CASTELLON-LOPEZ  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA131181CA

General Provider Information

NPI Number : 1255692778
Entity Type Code : Individual
Provider Name (Legal Business Name) : YELBA MARIAHELI CASTELLON-LOPEZ M.D.
Provider Business Mailing Address
First Line : 4140 W 190TH ST
Second Line :
City : TORRANCE
State : CA
Zip : 90504-5513
Country : US
Telephone Number : 310-967-1782
Fax Number :
Provider Business Practice Location Address
First Line : 8723 ALDEN DR STE 290
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-3692
Country : US
Telephone Number : 310-423-4683
Fax Number : 310-423-0436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2012
Last Update Date : 03/09/2026

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Directions to “ YELBA MARIAHELI CASTELLON-LOPEZ M.D.” Practice Location

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