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NPI Code Detail

MEDICARE: MR. CHRISTIAN CASTANEDA MSW

MEDICARE: MR. CHRISTIAN CASTANEDA MSW
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
1225400000XRehabilitation Practitioner
21041C0700XClinical Social Worker
3101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1801120407
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTIAN CASTANEDA MSW
Provider Business Mailing Address
First Line : 535 MAGNOLIA AVE UNIT 415
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-6639
Country : US
Telephone Number : 562-208-7216
Fax Number :
Provider Business Practice Location Address
First Line : 1157 LEMOYNE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-3206
Country : US
Telephone Number : 213-483-6335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2009
Last Update Date : 04/22/2026

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