Vander C Castillo, MA ATC CES CEAS
Specialist/Technologist, Athletic Trainer in Torrance, CA. Individual provider (NPI-1).
NPI number1285147520
StatusActive
Last updated in NPPESNov 8, 2017
Details
- NPI
- 1285147520
- Entity type
- Individual (NPI-1)
- Name
- Mr. Vander C Castillo
- Credential
- MA ATC CES CEAS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2017
- Last updated
- Nov 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
5004 Onyx StTorrance, CA 90503-2742
Phone 424-999-5749
Mailing address
5004 Onyx StTorrance, CA 90503-2742
Phone 310-999-2395
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