Individual
ANGEL GABRIEL CASTILLO ISRAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
6915 FACULTY CIRCLE APT. D, BUENA PARK, CA 90621
(323) 719-7166
Mailing address
6915 FACULTY CIR APT D, BUENA PARK, CA 90621-3764
(323) 719-7166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95006987
CA
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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