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Individual

DR. SERGIO GUILLERMO CASILLAS BERUMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1111 BROADWAY STE 305, CHULA VISTA, CA 91911-2700
(619) 567-7007
(619) 567-7775
Mailing address
1045 E PENNSYLVANIA AVE, ESCONDIDO, CA 92025-4616
(760) 884-4500
(619) 567-7775

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT196707
PA
2086S0129X
Vascular Surgery Physician
Primary
C185956
CA

Other

Enumeration date
06/22/2010
Last updated
03/26/2024
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