Provider Demographics
NPI:1194271841
Name:CASTIGLIONI, MISHELLE
Entity type:Individual
Prefix:
First Name:MISHELLE
Middle Name:
Last Name:CASTIGLIONI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MISHELLE
Other - Middle Name:
Other - Last Name:CASTIGLIONI PENA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:187 HILLIARD LN
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-1110
Mailing Address - Country:US
Mailing Address - Phone:818-297-0752
Mailing Address - Fax:
Practice Address - Street 1:1911 WILLIAMS DR STE 200
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-0673
Practice Address - Country:US
Practice Address - Phone:805-981-4221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program