Individual
MR. MARTIN CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134-7000
(323) 397-4923
Mailing address
2030 E 76TH PL, LOS ANGELES, CA 90001-3104
(323) 397-4923
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/13/2022
Last updated
03/14/2022
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