Castillo, Clarissa A

Castillo, Clarissa A is an individual health care provider with primary practice located at 4004 Beyer Blvd , San Ysidro CA 92173. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family Health, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Castillo, Clarissa A can be contacted via phone (619) 662-4100.

Contact Information

Primary practice address
4004 Beyer Blvd San Ysidro CA 92173
Phone: (619) 662-4100
Fax: (619) 428-7952
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X PA18154 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 18154 California

Profile Details

NPI number 1871506378
LBN Legal business name Castillo, Clarissa A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Aug 29th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871506378 NPPES
Other FHC18880F MEDI-CAL

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