Individual
RAE ANN CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 SAN PABLO ST FL 7, LOS ANGELES, CA 90033-5313
(323) 442-6254
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(626) 457-6601
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95001011
CA
364SA2100X
Acute Care Clinical Nurse Specialist
4164
CA
Other
Enumeration date
07/30/2014
Last updated
11/29/2022
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