Individual
DR. WILLIAM J CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3131 LA CANADA ST STE 230, LAS VEGAS, NV 89169-2551
(702) 732-1290
(702) 732-1385
Mailing address
3131 LA CANADA ST STE 230, LAS VEGAS, NV 89169-2551
(702) 732-1290
(702) 732-1385
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
12420
NV
2080P0202X
Pediatric Cardiology Physician
20947
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093895286
—
NV
05
—
2003496000
—
WV
01
—
NV8114
BLUE CROSS BLUE SHIELD
—
01
—
VWCLCQ
MEDICARE GROUP
NV
Enumeration date
10/16/2006
Last updated
03/08/2022
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