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Organization
BLOSS MEMORIAL DISTRICT HOSPITAL CASTLE FAMILY HLTH CTR & ADULT DAYCAR
Active
Organization
BLOSS MEMORIAL DISTRICT HOSPITAL CASTLE FAMILY HLTH CTR & ADULT DAYCAR
Active
Other names
CASTLE FAMILY HEALTH PHYSICIAN GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD HILARIO LUJAN (CEO)
(209) 381-2000
Entity
Organization
Contact information
Practice address
3605 HOSPITAL RD, ATWATER, CA 95301-5173
(209) 381-2000
(209) 726-0278
Mailing address
3605 HOSPITAL RD STE H, ATWATER, CA 95301-5173
(209) 381-2000
(209) 726-0278
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
A81776
CA
207V00000X
Obstetrics & Gynecology Physician
G60458
CA
207W00000X
Ophthalmology Physician
Primary
C50290
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADUR0420F
—
CA
05
—
RHM03997F
—
CA
05
—
RHM18515F
—
CA
05
—
RHM18537F
—
CA
Enumeration date
05/20/2008
Last updated
05/20/2008
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