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Individual

LIGAYA CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1520 SAN PABLO ST, SUITE 1000, LOS ANGELES, CA 90033-5310
(323) 442-5100
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
191384
MA
363L00000X
Nurse Practitioner
Primary
20391
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1902846306
GROUP NPI
CA
01
GR0100430
MEDICAL
CA
01
W18762
GROUP MEDICARE
CA
Enumeration date
03/15/2007
Last updated
01/20/2012
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