Provider Demographics
NPI:1396879920
Name:CASTORINO, KRISTIN NICOLE (DO)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:NICOLE
Last Name:CASTORINO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:KRISTIN
Other - Middle Name:NICOLE
Other - Last Name:CASTORINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:2219 BATH ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-4321
Mailing Address - Country:US
Mailing Address - Phone:805-682-7640
Mailing Address - Fax:805-682-3332
Practice Address - Street 1:2219 BATH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-4321
Practice Address - Country:US
Practice Address - Phone:805-682-7640
Practice Address - Fax:805-682-3332
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A10406207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine