MR. PAUL EDGAR CASTELLANOS NPI 1801483904

NPI Information

NPI: 1801483904
Provider Name: MR. PAUL EDGAR CASTELLANOS
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual
Address:
11301 WILSHIRE BLVD BLDG 258
LOS ANGELES, CA
ZIP 90073
Phone: (310) 920-5942
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MR. Paul Edgar Castellanos is a military health care provider in Los Angeles, CA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. MR. Paul Edgar Castellanos NPI is 1801483904. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11301 WILSHIRE BLVD BLDG 258
LOS ANGELES, CA
ZIP 90073-003
Phone: (310) 920-5942
Fax: (310) 215-3205

The enumeration date for this NPI number is 12/23/2020 and was last updated on 12/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171000000X	Military Health Care Provider				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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