MEDICARE: DR. CHRISTINA M CASTEEL MD

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	208600000X	Surgery Physician	G82208	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740396167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA M CASTEEL MD

Provider Business Mailing Address
First Line	:	10755 SCRIPPS POWAY PKWY # 565
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92131-3924
Country	:	US
Telephone Number	:	858-279-5599
Fax Number	:	858-279-5599

Provider Business Practice Location Address
First Line	:	7910 FROST ST
Second Line	:	SUITE 430
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-2795
Country	:	US
Telephone Number	:	858-279-5599
Fax Number	:	858-279-5848

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

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	06/25/2021

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