Individual
DR. ALFONSO C CASTELLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3700 SOUTH ST, LAKEWOOD, CA 90712-1498
(562) 531-2550
Mailing address
PO BOX 15070, SCOTTSDALE, AZ 85267-5070
(602) 239-6968
(602) 239-4144
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20A14072
CA
207P00000X
Emergency Medicine Physician
Primary
DO3056
NV
Other
Enumeration date
10/11/2006
Last updated
12/30/2021
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