Provider Demographics
NPI:1568544187
Name:CASTEL, ULDINE LAMIJANG (MD)
Entity Type:Individual
Prefix:DR
First Name:ULDINE
Middle Name:LAMIJANG
Last Name:CASTEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ULDINE
Other - Middle Name:
Other - Last Name:NETZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3555 LOMA VISTA RD STE 110
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-3161
Mailing Address - Country:US
Mailing Address - Phone:805-653-0303
Mailing Address - Fax:805-653-5761
Practice Address - Street 1:3555 LOMA VISTA RD STE 110
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3161
Practice Address - Country:US
Practice Address - Phone:805-653-0303
Practice Address - Fax:805-653-5761
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA82904207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW13268Medicare PIN
CAH85470Medicare UPIN
CAW13268AMedicare PIN
CAWA82904CMedicare PIN
CA00A829040OtherBLUE SHIELD PIN