Individual
EDWIN CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
767 FREEMAN AVE APT 3, LONG BEACH, CA 90804-4988
(626) 241-4430
Mailing address
767 FREEMAN AVE APT 3, LONG BEACH, CA 90804-4988
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
298427
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
298427
PT LICENSE
CA
Enumeration date
08/25/2020
Last updated
11/01/2021
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