Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 008216 | ME |
N | 111NI0900X | Internist | 008216 | ME |
N | 207R00000X | Internist | 17644 | CT |
N | 111NI0900X | Internist | 17644 | CT |
N | 207R00000X | Internist | C159790 | CA |
N | 111NI0900X | Internist | C159790 | CA |
N | 207R00000X | Internist | K7514 | TX |
N | 111NI0900X | Internist | K7514 | TX |
N | 207RP1001X | Pulmonary Disease | 008216 | ME |
N | 207RP1001X | Pulmonary Disease | 17644 | CT |
Y | 207RP1001X | Pulmonary Disease | C159790 | CA |
N | 207RP1001X | Pulmonary Disease | K7514 | TX |
N | 207RS0012X | Sleep Medicine | 008216 | ME |
N | 207RS0012X | Sleep Medicine | 17644 | CT |
N | 207RS0012X | Sleep Medicine | C159790 | CA |
N | 207RS0012X | Sleep Medicine | K7514 | TX |
NPI | 1316971245 |
---|---|
Provider Name | Richard J Castriotta |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90033-5310 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 03/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B84614 | (02) | TX |