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LUIS CASTILLO

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1912316977

Individual Registrant:
 LUIS  CASTILLO 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3350 OLIVE AVE  SIGNAL HILL, CA 90755-4620 US
Tel: 562-424-1869  Fax: 562-683-2686

Contact information for business:
1615 E 17TH ST SUITE 100 SANTA ANA, CA 92705-8529 US
Tel: 714-955-4042  Fax: 714-541-7924

Registration Information:
NPI: 1912316977
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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