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Contact Information

RAE ANN CASTILLO
1500 SAN PABLO ST FL 7
LOS ANGELES, CA90033-5313
 Phone: 323-442-6254
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Acute Care

364SA2100X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for RAE ANN CASTILLO · (Female)

NPI # 1417365784
Status Active
Credentials
Entity Individual
Enumeration date 07/30/2014
Last updated 11/29/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 4164
  • CA License # 95001011
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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