# CASTILLEJOS EYE INSTITUTE MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CASTILLEJOS EYE INSTITUTE MEDICAL GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982775672
- **Legal business name:** CASTILLEJOS EYE INSTITUTE MEDICAL GROUP
- **Authorized official:** MARIA E CASTILLEJOS M.D. (GENERAL PARTNER)
- **Authorized official phone:** (619) 422-1471

## Contact information

- **Practice address:** 342 F ST, CHULA VISTA, CA 91910
- **Practice address phone:** (619) 422-1471
- **Practice address fax:** (619) 422-0450
- **Mailing address:** 342 F ST, CHULA VISTA, CA 91910-2625
- **Mailing address phone:** (619) 422-1471
- **Mailing address fax:** (619) 422-0450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A37652 | CA | Yes |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 332H00000X | Eyewear Supplier | — | NULL | — |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 10/08/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0080800 | — | CA |
| 05 | — | GSD004480 | — | CA |