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Contact Information

CLARISSA A CASTILLO, PA
4004 BEYER BLVD
SAN YSIDRO, CA92173
 Phone: 619-662-4100
 Fax: 619-428-7952
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Family Health

364SF0001X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for CLARISSA A CASTILLO · (Female)

NPI Number 1871506378
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/14/2006
Last updated 08/29/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 18154
  • CA License # PA18154
  • Other FHC18880F MEDI-CAL
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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