Individual
DR. MANUEL MONTILLA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 EAST VALLEY PARKWAY, ESCONDIDO, CA 92025
(760) 739-3030
(760) 739-2604
Mailing address
591 CAMINO DE LA REINA, SUITE 200, SAN DIEGO, CA 92108-3102
(619) 325-8748
(619) 325-8732
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C42547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C425470
—
CA
Enumeration date
10/05/2006
Last updated
07/08/2007
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