Individual
BERNARD ORANTE CASILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5030 CAMINO DE LA SIESTA, SUITE 208, SAN DIEGO, CA 92108-3116
(619) 260-6300
(619) 260-6313
Mailing address
5030 CAMINO DE LA SIESTA, SUITE 208, SAN DIEGO, CA 92108-3116
(619) 260-6300
(619) 260-6313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17367
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00204658
RAILROAD MEDICARE
—
05
—
PA17367
—
CA
01
—
R059973A
MEDICARE PORTABLE X-RAY
CA
Enumeration date
08/21/2006
Last updated
10/15/2024
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