Laura Elizabeth Castanon

Individual provider Active NPI Other Technician · Calexico, CA

NPI 1003578451 · NPPES record last updated Oct 12, 2021

Key facts

NPI
1003578451
Entity type
Individual (NPI type 1)
Primary specialty
Other Technician 247200000X
Practice address
1273 M Stuart Dr
Calexico, CA 92231-3940
Phone
(760) 592-5444
NPI assigned
Oct 12, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Yes

Addresses

Primary practice location

1273 M Stuart Dr
Calexico, CA 92231-3940

Mailing address

1273 M Stuart Dr
Calexico, CA 92231-3940
Phone (760) 592-5444

Other providers in Calexico, CA

All providers in Calexico, CA · Other Technician in California

Sources for this page

Verify at the official NPI Registry.