Mary Dawn De Castro in Moreno Valley - Family Medicine

Mary Dawn De Castro - NPI 1194947176

Mary Dawn De Castro is a Family Medicine in Moreno Valley, California. Mary Dawn De Castro practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mary Dawn De Castro is 1194947176. The last update date is 2021-11-29.

Mary Dawn De Castro's current location address is 22675 Alessandro Blvd, Moreno Valley, California. You can contact this provider via phone number 9515712350 and fax number 9515712370. The mailing address for Mary Dawn De Castro is 22675 Alessandro Blvd, Moreno Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Dawn De Castro
Address 22675 Alessandro Blvd, Moreno Valley, California
Phone Number 9515712350
Fax Number 9515712370
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1194947176
Provider Enumeration Date 2007-05-02
Last Updated Date 2021-11-29

Provider Mailing Address Detail

Address 22675 Alessandro Blvd
City Moreno Valley
State California (CA)
Post Code 925538551
Phone Number 9515712350
Fax Number 9515712370

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No A99343
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
EAP70865F CA EAPC
FHC70865F CA MEDICAL
ZZZ12243Z CA MEDICARE GROUP
HAP70865F CA PACT
551914 CA MEDICARE

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FAQs about Mary Dawn De Castro

What is the unique identification code assigned to Mary Dawn De Castro by the Centers for Medicare & Medicaid Services?

The Mary Dawn De Castro has been issued the NPI (National Provider Identifier) 1194947176. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Mary Dawn De Castro is physically located?

The Mary Dawn De Castro is situated at the following address: 22675 Alessandro Blvd, Moreno Valley, CA 925538551.

What is Mary Dawn De Castro's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mary Dawn De Castro is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1194947176 to Mary Dawn De Castro?

The Mary Dawn De Castro received its 1194947176 assignment from the Centers for Medicare & Medicaid Services on 2007-05-02.

When was the information pertaining to Mary Dawn De Castro most recently updated or revised?

The details related to Mary Dawn De Castro, including its address, specialty, and other relevant information, were last updated or revised on 2021-11-29.

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