| Clinica Del Dr Castillo Y Dr Silva | |
|
212 Bailey Street Ste 204 Los Angeles CA 90033 | |
| (323) 264-5000 | |
| (323) 264-5003 |
| Full Name | Clinica Del Dr Castillo Y Dr Silva |
|---|---|
| Speciality | Family Medicine |
| Location | 212 Bailey Street, Los Angeles, California |
| Authorized Official Name and Position | Hector Rafael Castillo (MD, CEO) |
| Authorized Official Contact | 3234931788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Del Dr Castillo Y Dr Silva 212 Bailey Street Ste 204 Los Angeles CA 90033 Ph: (323) 264-5000 | Clinica Del Dr Castillo Y Dr Silva 212 Bailey Street Ste 204 Los Angeles CA 90033 Ph: (323) 264-5000 |
| NPI Number | 1659556058 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 02/04/2016 |
| Medicare PECOS PAC ID | 8820176233 |
|---|---|
| Medicare Enrollment ID | O20080425000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659556058 | NPI | - | NPPES |
| 00A761580 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A76158 (California) | Primary |
| Provider Name | Hector Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659366136 PECOS PAC ID: 4688645104 Enrollment ID: I20041117001272 |
| Provider Name | Arpita Amin Devani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962604124 PECOS PAC ID: 3577613173 Enrollment ID: I20090602000337 |
| Provider Name | David Cevallos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871827766 PECOS PAC ID: 6800052879 Enrollment ID: I20120718000707 |
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