Individual
TONY CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1651 E 4TH ST, SUITE 212, SANTA ANA, CA 92701-5164
(714) 835-2915
(714) 543-3114
Mailing address
PO BOX 4427, SANTA ANA, CA 92702-4427
(714) 835-2915
(714) 543-3114
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RHF67105
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XR059846F
—
CA
Enumeration date
12/12/2006
Last updated
07/09/2007
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