Del Castillo, Fulgencio Braganza
Del Castillo, Fulgencio Braganza is an individual health care provider with primary practice located at 710 Lawrence Expy Dept 190 , Santa Clara CA 95051-5173. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is his primary health care specialty. Del Castillo, Fulgencio Braganza can be contacted via phone (408) 851-1240.Contact Information
Primary practice address
710 Lawrence Expy Dept 190
Santa Clara CA 95051-5173
Phone: (408) 851-1240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C177174 | California |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | C177174 | California |
Profile Details
| NPI number | 1881692291 |
|---|---|
| LBN Legal business name | Del Castillo, Fulgencio Braganza |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2005 |
| Last updated | Jul 27th, 2022 - about 4 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 | 1881692291 | NPPES |
| California | Other | C177174 | MEDICAL BOARD OF CALIFORNIA |
| California | MEDICAID | 500635192 | MEDICAL BOARD OF CALIFORNIA |
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