Individual
CARMEN CASTILLO SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15248 11TH ST, VICTORVILLE, CA 92395-3704
(760) 843-6075
(760) 843-6050
Mailing address
500 S MAIN ST, 1210, ORANGE, CA 92868-4507
(714) 560-1580
(714) 560-1585
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C42862
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C428620
BLUE SHIELD
CA
05
—
00C428620
—
CA
Enumeration date
08/03/2006
Last updated
07/08/2007
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