Castillo, Ruben

Castillo, Ruben is an individual health care provider with primary practice located at 12450 Van Nuys Blvd , Pacoima CA 91331. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Castillo, Ruben can be contacted via phone (818) 896-1161.

Contact Information

Primary practice address
12450 Van Nuys Blvd Pacoima CA 91331
Phone: (818) 896-1161
Fax: (818) 896-5069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1932483914
LBN Legal business name Castillo, Ruben
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2011
Last updated Jul 5th, 2023 - about 2 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 1932483914 NPPES
California MEDICAID 7420
California MEDICAID 6758
California MEDICAID 1954
California MEDICAID 7068

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