Individual
MR. JORGE LUIS CASTELLANOS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1312 KNOLL DR, OCEANSIDE, CA 92054-5768
(760) 717-9680
Mailing address
1312 KNOLL DR, OCEANSIDE, CA 92054-5768
(760) 717-9680
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
02/28/2020
Last updated
03/29/2023
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