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NPI Code Detail

MEDICARE: DORIS CASTRO

MEDICARE:   DORIS  CASTRO
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
11041C0700XClinical Social Worker69787CA

General Provider Information

NPI Number : 1417146218
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORIS CASTRO
Provider Business Mailing Address
First Line : 901 W VICTORIA ST STE F&G
Second Line :
City : COMPTON
State : CA
Zip : 90220-5807
Country : US
Telephone Number : 323-893-5968
Fax Number :
Provider Business Practice Location Address
First Line : 901 W VICTORIA ST STE F&G
Second Line :
City : COMPTON
State : CA
Zip : 90220-5807
Country : US
Telephone Number : 310-669-9510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2007
Last Update Date : 06/07/2021

Similar Medicare Providers

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Practice Location Address:
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1255465613 — MR. JOAQUIN S MAGANA
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Directions to “ DORIS CASTRO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.