Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWARD R CASILAG, COTA/L
ActiveMR. EDWARD R CASILAG, COTA/L is a 224ZF0002X healthcare provider located in SANTA ROSA, California. NPI 1437759800 is currently active in the NPPES registry. Verify at CMS.
224ZF0002X · SANTA ROSA, CA
Registration Details
- NPI Number
- 1437759800
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2020 (5.7945597145316 yrs)
- Last Updated
- Oct 27, 2020
- License
-
OTA5372 (CA)
Practice Information
- Address
-
3751 MONTGOMERY DRSANTA ROSA, CA, 954055214Browse CA providers · Browse ZIP 95405
- Phone
- 7075251250
- Primary Specialty
-
224ZF0002X
224ZF0002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.