MEDICARE: XAVIER ASTOLFO GOMEZ CASTILLO M.A., CCHT.

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
1	106H00000X	Marriage & Family Therapist	114440	CA
2	101Y00000X	Counselor		CA

General Provider Information

NPI Number	:	1306035704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XAVIER ASTOLFO GOMEZ CASTILLO M.A., CCHT.

Provider Business Mailing Address
First Line	:	7856 E CREST CIR
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-3107
Country	:	US
Telephone Number	:	323-905-4262
Fax Number	:

Provider Business Practice Location Address
First Line	:	7856 E CREST CIR
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-3107
Country	:	US
Telephone Number	:	323-905-4262
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2007
Last Update Date	:	08/21/2025

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