Provider Demographics
NPI:1437423001
Name:CASTRO, OSCAR ALEJANDRO (DC)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:ALEJANDRO
Last Name:CASTRO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1435 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-1026
Mailing Address - Country:US
Mailing Address - Phone:530-243-0889
Mailing Address - Fax:530-243-4959
Practice Address - Street 1:1435 MARKET ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1026
Practice Address - Country:US
Practice Address - Phone:530-243-0889
Practice Address - Fax:530-243-4959
Is Sole Proprietor?:No
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 31453111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health