Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | DC 31453 | CA |
NPI | 1437423001 |
---|---|
Provider Name | Oscar Alejandro Castro |
First Address | Redding, CA 96001-1026 |
Second Address | Redding, CA 96001-1026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/02/2012 |
Last Update Date | 29/02/2012 |