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Individual

JONATHAN RICHARD CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSSA

Contact information

Practice address
11301 WILSHIRE BLVD, BLDG 206, LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-4378
Mailing address
11301 WILSHIRE BLVD, BLDG 206, LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-4378

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
04/15/2009
Last updated
04/15/2009
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