Provider Demographics
NPI:1437215241
Name:CHRISTINA M CASTEEL M D INC
Entity Type:Organization
Organization Name:CHRISTINA M CASTEEL M D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CORPORATION
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CASTEEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-279-5599
Mailing Address - Street 1:10755 SCRIPPS POWAY PKWY # 565
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-3924
Mailing Address - Country:US
Mailing Address - Phone:858-279-5599
Mailing Address - Fax:858-279-5599
Practice Address - Street 1:9888 GENESEE AVE
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1205
Practice Address - Country:US
Practice Address - Phone:858-626-4123
Practice Address - Fax:858-279-5599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG82208208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G822081Medicaid
CAG06521Medicare UPIN