Individual
DR. PABLO R CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 W KETTLEMAN LN, SUITE 200, LODI, CA 95242-4337
(209) 334-8540
(209) 368-2885
Mailing address
PO BOX 241011, LODI, CA 95241-9511
(209) 339-7435
(209) 333-3054
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12389
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12389
LICENSE
PR
Enumeration date
06/18/2012
Last updated
12/30/2016
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