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Organization

BLOSS MEMORIAL DISTRICT HOSPITAL CASTLE FAMILY HLTH CTR & ADULT DAYCAR

Active
Other names
CASTLE FAMILY HEALTH PHYSICIAN GROUP
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDWARD HILARIO LUJAN (CEO)
(209) 381-2000
Entity
Organization

Contact information

Practice address
3605 HOSPITAL RD, ATWATER, CA 95301-5173
(209) 381-2000
(209) 726-0278
Mailing address
3605 HOSPITAL RD STE H, ATWATER, CA 95301-5173
(209) 381-2000
(209) 726-0278

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
A81776
CA
207V00000X
Obstetrics & Gynecology Physician
G60458
CA
207W00000X
Ophthalmology Physician
Primary
C50290
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ADUR0420F
CA
05
RHM03997F
CA
05
RHM18515F
CA
05
RHM18537F
CA
Enumeration date
05/20/2008
Last updated
05/20/2008
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