Individual
LINDA BLACK-CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 E 120TH ST, LOS ANGELES, CA 90059-3051
(424) 338-2900
Mailing address
1721 E 120TH ST, LOS ANGELES, CA 90059-3051
(424) 338-2900
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
487069
CA
Other
Enumeration date
06/12/2017
Last updated
07/21/2022
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