James C. Castelo, Dds, Inc. | |
5250 Santa Monica Blvd Ste 210 Los Angeles CA 90029-1254 | |
(323) 666-3852 | |
Not Available |
Full Name | James C. Castelo, Dds, Inc. |
---|---|
Speciality | Dentist |
Location | 5250 Santa Monica Blvd Ste 210, Los Angeles, California |
Authorized Official Name and Position | James Chan Castelo (PRESIDENT) |
Authorized Official Contact | 3236663852 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
James C. Castelo, Dds, Inc. 5250 Santa Monica Blvd Ste 210 Los Angeles CA 90029-1254 Ph: (323) 666-3852 | James C. Castelo, Dds, Inc. 5250 Santa Monica Blvd Ste 210 Los Angeles CA 90029-1254 Ph: (323) 666-3852 |
NPI Number | 1003445560 |
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Provider Enumeration Date | 04/06/2020 |
Last Update Date | 04/06/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003445560 | NPI | - | NPPES |
1144467341 | Other | CA | NPI TYPE1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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