Individual
DR. FULGENCIO BRAGANZA DEL CASTILLO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 LAWRENCE EXPY DEPT 190, SANTA CLARA, CA 95051-5173
(408) 851-1240
Mailing address
710 LAWRENCE EXPY DEPT 190, SANTA CLARA, CA 95051-5173
(408) 851-1240
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C177174
CA
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
C177174
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500635192
—
OR
01
—
C177174
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
07/09/2005
Last updated
07/27/2022
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