Santos, Carmen Castillo

Santos, Carmen Castillo is an sole proprietor health care provider with primary practice located at 15248 11Th St , Victorville CA 92395-3704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Santos, Carmen Castillo can be contacted via phone (760) 843-6075.

Contact Information

Primary practice address
15248 11Th St Victorville CA 92395-3704
Phone: (760) 843-6075
Fax: (760) 843-6050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C42862 California

Profile Details

NPI number 1093723215
LBN Legal business name Santos, Carmen Castillo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093723215 NPPES
California Other 00C428620 BLUE SHIELD
California MEDICAID 00C428620 BLUE SHIELD

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