Castro, Mary Dawn De
Castro, Mary Dawn De is an individual health care provider with primary practice located at 22675 Alessandro Blvd , Moreno Valley CA 92553-8551. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Castro, Mary Dawn De can be contacted via phone (951) 571-2350.Contact Information
Primary practice address
22675 Alessandro Blvd
Moreno Valley CA 92553-8551
Phone: (951) 571-2350
Fax: (951) 571-2370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A99343 | California |
Profile Details
| NPI number | 1194947176 |
|---|---|
| LBN Legal business name | Castro, Mary Dawn De |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Nov 29th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194947176 | NPPES |
| California | Other | EAP70865F | EAPC |
| California | Other | FHC70865F | EAPC |
| California | Other | ZZZ12243Z | EAPC |
| California | Other | HAP70865F | EAPC |
| California | Other | 551914 | EAPC |
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