Carlos X Castellanos, MD
Student in an Organized Health Care Education/Training Program in Los Angeles, CA. Individual provider (NPI-1).
NPI number1982306858
StatusActive
Last updated in NPPESMar 21, 2023
Details
- NPI
- 1982306858
- Entity type
- Individual (NPI-1)
- Name
- Carlos X Castellanos
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 21, 2023
- Certification date
- Mar 21, 2023
- Last updated
- Mar 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
200 Ucla Medical Plz Ste 550Los Angeles, CA 90095-8344
Phone 310-206-6688
Mailing address
993 Raedel DrSan Diego, CA 92154-2015
Phone 619-587-2615
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