Individual provider · NPI-1

Luisito Casten Jr.

Assisted Living Facility · Mission Viejo, CA

NPI number1114749785
StatusActive
Last updated in NPPESOct 25, 2024

Details

NPI
1114749785
Entity type
Individual (NPI-1)
Name
Luisito Casten Jr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 25, 2024
Certification date
Oct 25, 2024
Last updated
Oct 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

22356 Valdivia
Mission Viejo, CA 92691-1413

Phone 310-975-5634

Mailing address

15 Zion Dr
Lake Forest, CA 92630-8737

Phone 310-975-5634

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