Individual
DR. HECTOR CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 E WASHINGTON BLVD, LOS ANGELES, CA 90021-3020
(213) 745-3636
(213) 745-3626
Mailing address
1005 E WASHINGTON BLVD, LOS ANGELES, CA 90021-3020
(213) 745-3636
(213) 745-3626
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A76158
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A761580
—
CA
01
—
770642090
TAX ID #
CA
01
—
H73129
PTAN
CA
Enumeration date
09/12/2005
Last updated
10/25/2007
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