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NPI Code Detail

MEDICARE: STEPHANY CASTILLO-VASQUEZ

MEDICARE: STEPHANY CASTILLO-VASQUEZ
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
1172V00000XCommunity Health Worker
21041C0700XClinical Social Worker130754CA
3390200000XStudent in an Organized Health Care Education/Training Program
4171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1851901862
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANY CASTILLO-VASQUEZ
Provider Business Mailing Address
First Line : 4281 KATELLA AVE STE 201
Second Line :
City : LOS ALAMITOS
State : CA
Zip : 90720-6509
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2731 NUGGET AVE
Second Line :
City : LAKE ISABELLA
State : CA
Zip : 93240-9456
Country : US
Telephone Number : 760-379-3412
Fax Number : 760-379-5332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2020
Last Update Date : 03/18/2026

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Directions to “ STEPHANY CASTILLO-VASQUEZ ” Practice Location

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