Individual
MR. VANDER C CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA ATC CES CEAS
Contact information
Practice address
5004 ONYX ST, TORRANCE, CA 90503-2742
(424) 999-5749
Mailing address
5004 ONYX ST, TORRANCE, CA 90503-2742
(310) 999-2395
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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