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Organization
ERIC CARL CASTANEDA
Active
Organization
ERIC CARL CASTANEDA
Active
Other names
DIAMOND SPRINGS MOBILITY
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA ELIZABETH SOTO (MANAGER)
(530) 626-7638
Entity
Organization
Contact information
Practice address
484 PLEASANT VALLEY RD., SUITE #20, DIAMOND SPRINGS, CA 95619-9472
(530) 626-7638
(530) 626-3789
Mailing address
484 PLEASANT VALLEY RD., SUITE #20, DIAMOND SPRINGS, CA 95619-9472
(530) 626-7638
(530) 626-3789
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
103039
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03242F
—
CA
Enumeration date
08/20/2007
Last updated
07/30/2010
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