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Individual

JORGE EDUARDO CASTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2550 E FOOTHILL BLVD, PASADENA, CA 91107-3406
(626) 744-5230
Mailing address
2550 E FOOTHILL BLVD, PASADENA, CA 91107-3406
(626) 744-5230

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
373H00000X
Day Training/Habilitation Specialist
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
999999999
MENTAL HEALTH
CA
Enumeration date
05/23/2019
Last updated
10/07/2025
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