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NPI Code Detail

MEDICARE: GISELLE CASTOR-RAZO

MEDICARE: GISELLE CASTOR-RAZO
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 Worker136646CA

General Provider Information

NPI Number : 1821766866
Entity Type Code : Individual
Provider Name (Legal Business Name) : GISELLE CASTOR-RAZO
Provider Business Mailing Address
First Line : 1301 PINE AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-3124
Country : US
Telephone Number : 562-519-9549
Fax Number :
Provider Business Practice Location Address
First Line : 1301 PINE AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-3124
Country : US
Telephone Number : 562-519-9549
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2021
Last Update Date : 01/26/2026

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Directions to “ GISELLE CASTOR-RAZO ” Practice Location

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