Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | DC20544 | CA |
NPI | 1750562815 |
---|---|
Provider Name | Dr. Peter Castaneda |
First Address | Downey, CA 90241-2812 |
Second Address | Downey, CA 90241-2812 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2007 |
Last Update Date | 16/11/2007 |