Individual
IRIS CASTANEDA- VAN WYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A71051
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A710510
—
CA
01
—
A710510
LICENSE NUMBER
CA
Enumeration date
01/12/2007
Last updated
01/05/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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