Provider Demographics
NPI:1629275912
Name:DE CASTRO-MARCEAU, DAWN MARIE KIM (MD)
Entity Type:Individual
Prefix:DR
First Name:DAWN MARIE
Middle Name:KIM
Last Name:DE CASTRO-MARCEAU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8701 CUYAMACA ST
Mailing Address - Street 2:STE 800
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071
Mailing Address - Country:US
Mailing Address - Phone:619-568-8220
Mailing Address - Fax:619-568-8089
Practice Address - Street 1:8701 CUYAMACA ST
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071
Practice Address - Country:US
Practice Address - Phone:619-568-8220
Practice Address - Fax:619-568-8089
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2020-10-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MAL22464093207W00000X, 207WX0200X
CAA132200207W00000X, 207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology