Castro, Mary Dawn De

Castro, Mary Dawn De is an individual health care provider with primary practice located at 22675 Alessandro Blvd , Moreno Valley CA 92553-8551. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Castro, Mary Dawn De can be contacted via phone (951) 571-2350.

Contact Information

Primary practice address
22675 Alessandro Blvd Moreno Valley CA 92553-8551
Phone: (951) 571-2350
Fax: (951) 571-2370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A99343 California

Profile Details

NPI number 1194947176
LBN Legal business name Castro, Mary Dawn De
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Nov 29th, 2021 - about 3 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 1194947176 NPPES
California Other EAP70865F EAPC
California Other FHC70865F EAPC
California Other ZZZ12243Z EAPC
California Other HAP70865F EAPC
California Other 551914 EAPC

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