Provider Demographics
NPI:1740396167
Name:CASTEEL, CHRISTINA M (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:M
Last Name:CASTEEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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 1:7910 FROST ST
Practice Address - Street 2:SUITE 430
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-2795
Practice Address - Country:US
Practice Address - Phone:858-279-5599
Practice Address - Fax:858-279-5848
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG82208208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G822081Medicaid
CA00G822081Medicaid
CAG82208Medicare ID - Type Unspecified