Organization
CASTILLEJOS EYE INSTITUTE MEDICAL GROUP
Active
Parent organization
CASTILLEJOS EYE INSTITUTE MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
CASTILLEJOS EYE INSTITUTE MEDICAL GROUP
Authorized official
MARIA E CASTILLEJOS M.D. (GENERAL PARTNER)
(619) 422-1471
Entity
Organization
Contact information
Practice address
342 F ST, CHULA VISTA, CA 91910
(619) 422-1471
(619) 422-0450
Mailing address
342 F ST, CHULA VISTA, CA 91910-2625
(619) 422-1471
(619) 422-0450
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A37652
CA
207W00000X
Ophthalmology Physician
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0080800
—
CA
05
—
GSD004480
—
CA
Enumeration date
11/13/2006
Last updated
10/08/2025
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