Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A110729 | CA |
N | 208600000X | Surgeon | A110729 | CA |
Y | 2086S0120X | Pediatric Surgery | A110729 | CA |
NPI | 1538147145 |
---|---|
Provider Name | Dr. Romeo Castro Ignacio JR. |
First Address | San Diego, CA 92123-4223 |
Second Address | San Diego, CA 92123 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2006 |
Last Update Date | 10/01/2019 |