Individual
MR. JOSHUA BRYAN CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
612 PINE VALLEY RD, BANNING, CA 92220-5357
(909) 787-7147
Mailing address
612 PINE VALLEY RD, BANNING, CA 92220-5357
(909) 787-7147
Taxonomy
Speciality
Code
Description
License number
State
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
Primary
871060072
CA
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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