EMMANUEL CASTRO


Address: 4 Village Loop, Phillips Ranch, CA 91766
Phone: 9098650191

EMMANUEL CASTRO (NPI# 1215271085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215271085
Entity Type Individual
Full Name EMMANUEL CASTRO
Practice Address 4 Village Loop
Phillips Ranch
CA 91766
Mailing Address 4 Village Loop Rd.
Phillips Ranch
CA 91766
Practice Telephone 9098650191
Practice Fax Number 9098650193
Enumeration Date 2012-11-19
Last Update Date 2012-11-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Providers EMMANUEL CASTRO

NPI Name Taxonomy Address Enumeration
1568921732 Emmanuel Cruz Castro Specialist/Technologist 12805 Pegasus Dr, Orlando, FL 32816-8030 2019-03-18

Office Location

Street Address 4 VILLAGE LOOP
City PHILLIPS RANCH
State CA
Zip Code 91766

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1770971715 Hanzel Mendez Physical Therapist 1080 Verbena Court, Pomona, CA 91766 2014-12-29
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1487075578 Fenix Health Medical Group, Inc. Family Medicine 716 East Mission Blvd., Pomona, CA 91766 2013-12-17
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1497196349 Cohen Sedgh, Manavi & Pakravan Dental Corporation Dentist 763 Rio Rancho Road Suite120, Pomona, CA 91766 2013-07-08
1245573567 Terry Chang Acupuncturist 3060 W. Temple Ave., Pomona, CA 91766 2013-04-04
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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Competitor

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City PHILLIPS RANCH
Zip Code 91766

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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