Castro, Luis Jeronimo

Castro, Luis Jeronimo is an individual health care provider with primary practice located at 2900 Whipple Ave Suite 140, Redwood City CA 94062-2851. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Castro, Luis Jeronimo can be contacted via phone (650) 261-2366.

Contact Information

Primary practice address
2900 Whipple Ave Suite 140 Redwood City CA 94062-2851
Phone: (650) 261-2366
Fax: (650) 261-2369
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X G72322 California
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X G72322 California

Profile Details

NPI number 1679587893
LBN Legal business name Castro, Luis Jeronimo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 31st, 2014 - about 11 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 1679587893 NPPES
California MEDICAID 00G723220
California MEDICAID GR0052800
California Other CP2153

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