Decastro, Dulce R

Decastro, Dulce R is an individual health care provider with primary practice located at 999 San Bernardino Rd , Upland CA 91786-4920. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Decastro, Dulce R can be contacted via phone (909) 985-2811.

Contact Information

Primary practice address
999 San Bernardino Rd Upland CA 91786-4920
Fax: (909) 920-3827
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X A44674 California

Profile Details

NPI number 1508851064
LBN Legal business name Decastro, Dulce R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Mar 17th, 2018 - about 6 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 1508851064 NPPES
California MEDICAID 00A446740

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