Individual
DR. IRIS JOLLY JOANNA CASTILLO MENCIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21231 HAWTHORNE BLVD, TORRANCE, CA 90503-5501
(310) 540-1711
Mailing address
21231 HAWTHORNE BLVD, TORRANCE, CA 90503-5501
(310) 540-1711
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
A113545
CA
Other
Enumeration date
07/06/2011
Last updated
04/23/2012
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