# REUBEN C CASTILLO, PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942429188
- **Authorized official:** DR. REUBEN CARLOS CASTILLO M.D. (MEDICAL DOCTOR)
- **Authorized official phone:** (951) 657-5441

## Contact information

- **Practice address:** 498 W 4TH ST, PERRIS, CA 92570-2070
- **Practice address phone:** (951) 654-5441
- **Practice address fax:** (951) 943-4938
- **Mailing address:** PO BOX 280, PERRIS, CA 92572-0280
- **Mailing address phone:** (951) 657-5441
- **Mailing address fax:** (951) 943-4938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A056105 | CA | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 08/22/2020