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NPI Code Detail

MEDICARE: ALONDRA CASTRO

MEDICARE: ALONDRA CASTRO
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
1171W00000XContractor

General Provider Information

NPI Number : 1871063115
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALONDRA CASTRO
Provider Business Mailing Address
First Line : 1241 S DOWNEY RD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90023-3303
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2644 30TH ST STE 100
Second Line :
City : SANTA MONICA
State : CA
Zip : 90405-3051
Country : US
Telephone Number : 310-314-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2018
Last Update Date : 11/29/2018

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Directions to “ ALONDRA CASTRO ” Practice Location

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