Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | A80279 | CA |
NPI | 1003068834 |
---|---|
Provider Name | Dr. Phil Orallo Castillo |
First Address | Alhambra, CA 91801-7905 |
Second Address | Los Angeles, CA 90033-1029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2008 |
Last Update Date | 10/10/2008 |