Individual
MRS. CAROLINA CASTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
520 W 17TH ST, 1, SANTA ANA, CA 92706-3614
(714) 972-2727
(714) 972-1193
Mailing address
520 W 17TH ST, 1, SANTA ANA, CA 92706-3614
(714) 972-2727
(714) 972-1193
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16252
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA16252
CA STATE LICENSE
CA
Enumeration date
06/30/2008
Last updated
03/07/2023
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