Castellanet, Mark John
Castellanet, Mark John is an individual health care provider with primary practice located at 3801 Katella Ave Ste 401, Los Alamitos CA 90720-3375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Castellanet, Mark John can be contacted via phone (562) 598-3200.Contact Information
Primary practice address
3801 Katella Ave Ste 401
Los Alamitos CA 90720-3375
Phone: (562) 598-3200
Fax: (562) 799-3646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | GZ8642 | California |
Profile Details
| NPI number | 1538165782 |
|---|---|
| LBN Legal business name | Castellanet, Mark John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538165782 | NPPES |
| California | MEDICAID | 00GZ86420 |
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