Individual
IVAN CASTANEDA-GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4435 EASTGATE MALL STE 120, SAN DIEGO, CA 92121-1980
(858) 587-8669
Mailing address
1015 E OHIO AVE APT 102, ESCONDIDO, CA 92025-4661
(619) 994-0826
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53546
CA
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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