Iliana Matamoros Castro, is a
Social Worker - Clinical based in Los Angeles, California. Iliana Matamoros Castro is licensed to practice in California (license number 114191) and her current practice location is
1721 Griffin Ave, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 221-4134.
NPI number for Iliana Matamoros Castro is 1124449103 and her current mailing address is 1721 Griffin Ave, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124449103.
Healthcare Provider's Profile
Full Name | Iliana Matamoros Castro |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1721 Griffin Ave, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124449103
- Provider Enumeration Date: 12/18/2013
- Last Update Date: 03/21/2023
Medical Identifiers
Medical identifiers for Iliana Matamoros Castro such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124449103 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW90236 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 114191 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Iliana Matamoros Castro is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Iliana Matamoros Castro, 1721 Griffin Ave, Los Angeles, CA 90031-3312 Ph: (323) 221-4134 | Iliana Matamoros Castro, 1721 Griffin Ave, Los Angeles, CA 90031-3312 Ph: (323) 221-4134 |
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