Individual
DR. JASON ROBERT CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 WILLARD, IRVINE, CA 92604-4694
(949) 262-5780
Mailing address
6 WILLARD, IRVINE, CA 92604-4694
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
61767
MN
207N00000X
Dermatology Physician
A133196
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A133196
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2013
Last updated
12/03/2021
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