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Contact Information

JOSE CASTILLO
4700 ENTERPRISE WAY
MODESTO, CA95356
 Phone: 209-550-6013
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for JOSE CASTILLO · (Male)

NPI # 1245956960
Status Active
Credentials
Entity Individual
Enumeration date 10/14/2022
Last updated 10/14/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 12428
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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