Provider Demographics
NPI:1154035319
Name:CASTLE HEALTH & WELLNESS CHIROPRACTIC BY CASTILLO INC.
Entity type:Organization
Organization Name:CASTLE HEALTH & WELLNESS CHIROPRACTIC BY CASTILLO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:909-694-4200
Mailing Address - Street 1:659 E 15TH ST STE H
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-2333
Mailing Address - Country:US
Mailing Address - Phone:909-694-4200
Mailing Address - Fax:
Practice Address - Street 1:659 E 15TH ST STE H
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-2333
Practice Address - Country:US
Practice Address - Phone:909-694-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-11
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty