Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLY CASTILLO
Active136A00000X · SAN LUIS OBISPO, CA
Registration Details
- NPI Number
- 1538761440
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 15, 2020 (5.4336409091992 yrs)
- Last Updated
- Nov 15, 2020
- License
-
86120000
Practice Information
- Address
-
1080 GROVE STSAN LUIS OBISPO, CA, 934012912Browse CA providers · Browse ZIP 93401
- Phone
- 8052489513
- Primary Specialty
-
136A00000X
136A00000X
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.