# BLOSS MEMORIAL DISTRICT HOSPITAL CASTLE FAMILY HLTH CTR & ADULT DAYCAR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CASTLE FAMILY HEALTH PHYSICIAN GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932366614
- **Authorized official:** MR. EDWARD HILARIO LUJAN (CEO)
- **Authorized official phone:** (209) 381-2000

## Contact information

- **Practice address:** 3605 HOSPITAL RD, ATWATER, CA 95301-5173
- **Practice address phone:** (209) 381-2000
- **Practice address fax:** (209) 726-0278
- **Mailing address:** 3605 HOSPITAL RD STE H, ATWATER, CA 95301-5173
- **Mailing address phone:** (209) 381-2000
- **Mailing address fax:** (209) 726-0278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | A81776 | CA | — |
| 207V00000X | Obstetrics & Gynecology Physician | G60458 | CA | — |
| 207W00000X | Ophthalmology Physician | C50290 | CA | Yes |

## Other

- **Enumeration date:** 05/20/2008
- **Last updated:** 05/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ADUR0420F | — | CA |
| 05 | — | RHM03997F | — | CA |
| 05 | — | RHM18515F | — | CA |
| 05 | — | RHM18537F | — | CA |