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NPI Code Detail

MEDICARE: MS. DOROTHY JEAN CASTILLO

MEDICARE: MS. DOROTHY JEAN CASTILLO
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1558553131
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DOROTHY JEAN CASTILLO
Provider Business Mailing Address
First Line : 1615 FRENCH ST
Second Line : STE.#102
City : SANTA ANA
State : CA
Zip : 92701-2475
Country : US
Telephone Number : 714-824-8150
Fax Number : 714-824-8151
Provider Business Practice Location Address
First Line : 1615 FRENCH ST
Second Line : STE.#102
City : SANTA ANA
State : CA
Zip : 92701-2475
Country : US
Telephone Number : 714-824-8150
Fax Number : 714-824-8151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2007
Last Update Date : 08/16/2007

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