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Individual

DR. JED CLARENCE CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1245 WILSHIRE BLVD STE 905, LOS ANGELES, CA 90017-4809
(213) 977-0294
(213) 202-7185
Mailing address
1245 WILSHIRE BLVD STE 905, LOS ANGELES, CA 90017-4809
(213) 977-0294
(213) 202-7185

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A162406
CA

Other

Enumeration date
05/21/2015
Last updated
02/16/2022
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