Individual
DR. LUIS JERONIMO CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 WHIPPLE AVE, SUITE 140, REDWOOD CITY, CA 94062-2851
(650) 261-2366
(650) 261-2369
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
(916) 379-2915
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
G72322
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G72322
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G723220
—
CA
01
—
CP2153
RAILROAD MEDICARE
CA
05
—
GR0052800
—
CA
Enumeration date
07/27/2006
Last updated
07/31/2014
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