MEDICARE: LIZETH CASTELLON

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
1	373H00000X	Day Training/Habilitation Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	95-2633765	OTHER	CA	MEDICAL

General Provider Information

NPI Number	:	1992667380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIZETH CASTELLON

Provider Business Mailing Address
First Line	:	15305 RAYEN ST
Second Line	:
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-5117
Country	:	US
Telephone Number	:	818-892-3423
Fax Number	:	818-893-4509

Provider Business Practice Location Address
First Line	:	15305 RAYEN ST
Second Line	:
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-5117
Country	:	US
Telephone Number	:	818-892-3423
Fax Number	:	818-893-4509

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	01/08/2026

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Directions to “ LIZETH CASTELLON ” Practice Location

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