person
Richard D De Castro, PA-C
Surgical Physician Assistant in Daly City, California
NPI 1295908861

Richard D De Castro is a Surgical Physician Assistant based in Los Angeles, CA and is specialized in Surgical. Richard D De Castro practices in Daly City, CA and has the professional credentials of PA-C. The NPI Number for Richard D De Castro is 1295908861 and holds a License No. PA19596 (California).

The current practice location address for Richard D De Castro is 1850 Sullivan Ave, Daly City, CA and can be reached out via phone at 650-756-5630 and via fax at 650-756-0136.

Location: 1850 Sullivan Ave, Daly City, CA, 90057-1901
person
Provider Profile Details
NPI Number
1295908861
Provider Name
Richard D De Castro
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1850 Sullivan Ave, Daly City, CA, 90057-1901
Phone Number
650-756-5630
Fax Number
650-756-0136
Provider Enumeration Date
04/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA19596 01 CA STATE
institution
Provider Business Practice Location Address Details
Address
1850 Sullivan Ave
City
State
Zip
94015-2223
Phone Number
650-756-5630
Fax Number
650-756-0136
person
Provider Business Mailing Address Details
Address
1850 Sullivan Ave
City
State
Zip
94015-2223
Phone Number
650-756-5630
Fax Number
650-756-0136
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA19596 (California)
Definition
Definition to come...
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