Decastro, Marlon

Decastro, Marlon is an individual health care provider with primary practice located at 500 Doyle Park Dr Ste. 303, Santa Rosa CA 95405-4558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Decastro, Marlon can be contacted via phone (707) 303-8300.

Contact Information

Primary practice address
500 Doyle Park Dr Ste. 303 Santa Rosa CA 95405-4558
Phone: (707) 303-8300
Fax: (707) 303-8301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23181 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C53594 California

Profile Details

NPI number 1780643270
LBN Legal business name Decastro, Marlon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Mar 7th, 2023 - about 3 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 1780643270 NPPES
California Other C53594 CA LICENSE
California Other 23181 CA LICENSE
California Other 20-23181 CA LICENSE
California MEDICAID 231813 CA LICENSE

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