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NPI Code Detail

MEDICARE: MR. REGINALD CASILANG N.P.

MEDICARE: MR. REGINALD CASILANG N.P.
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerDEA-MC0345466HI
2363LP0808XPsychiatric/Mental Health Nurse PractitionerDEA-MC1624041CA
3363LP0808XPsychiatric/Mental Health Nurse PractitionerNP16861CA
4363LP0808XPsychiatric/Mental Health Nurse PractitionerCSR-RN2050HI
5363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN5637HI

General Provider Information

NPI Number : 1780784488
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. REGINALD CASILANG N.P.
Provider Business Mailing Address
First Line : 2701 SANTA FIORA DR
Second Line :
City : CORONA
State : CA
Zip : 92882-1113
Country : US
Telephone Number : 909-263-8000
Fax Number : 909-265-9433
Provider Business Practice Location Address
First Line : 4160 TEMESCAL CANYON RD STE 401
Second Line :
City : CORONA
State : CA
Zip : 92883-4626
Country : US
Telephone Number : 833-559-9559
Fax Number : 909-265-9433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 03/30/2026

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