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Mr. Paul Edgar Castellanos
Military Health Care Provider in Los Angeles, California
NPI 1801483904

Paul Edgar Castellanos is a Military Health Care Provider based in Los Angeles, CA. Paul Edgar Castellanos practices in Los Angeles, CA. The NPI Number for Paul Edgar Castellanos is 1801483904 and holds a License No. (California).

The current practice location address for Paul Edgar Castellanos is 11301 Wilshire Blvd Bldg 258, Los Angeles, CA and can be reached out via phone at 310-920-5942 and via fax at 310-215-3205.

Location: 11301 Wilshire Blvd Bldg 258, Los Angeles, CA, 90073-1003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801483904
Provider Name
Paul Edgar Castellanos
Credential
Provider Entity Type
Individual
Gender
Male
Address
11301 Wilshire Blvd Bldg 258, Los Angeles, CA, 90073-1003
Phone Number
310-920-5942
Fax Number
310-215-3205
Provider Enumeration Date
12/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11301 Wilshire Blvd Bldg 258
City
Los Angeles
State
California
Zip
90073-1003
Phone Number
310-920-5942
Fax Number
310-215-3205
person
Provider Business Mailing Address Details
Address
11301 Wilshire Blvd Bldg 258
City
Los Angeles
State
California
Zip
90073-1003
Phone Number
310-920-5942
Fax Number
310-215-3205
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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