Provider Demographics
NPI:1740397215
Name:CASTANON-HILL, RITO (MD)
Entity Type:Individual
Prefix:
First Name:RITO
Middle Name:
Last Name:CASTANON-HILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RITO
Other - Middle Name:CASTANON
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7901 AIRLANE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-3010
Mailing Address - Country:US
Mailing Address - Phone:310-902-0903
Mailing Address - Fax:310-670-6735
Practice Address - Street 1:7901 AIRLANE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-3010
Practice Address - Country:US
Practice Address - Phone:310-902-0903
Practice Address - Fax:310-670-6735
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA71843207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH90938Medicare UPIN
CAA71843Medicare ID - Type Unspecified