Provider Demographics
NPI:1801376298
Name:CASTANON, MARIA (CRT, RRT-SDS)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:CASTANON
Suffix:
Gender:F
Credentials:CRT, RRT-SDS
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:LUISA
Other - Last Name:GONZALEZ
Other - Suffix:II
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8756 RAMONA ST
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-7724
Mailing Address - Country:US
Mailing Address - Phone:562-688-2652
Mailing Address - Fax:
Practice Address - Street 1:1505 N EDGEMONT ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-5209
Practice Address - Country:US
Practice Address - Phone:323-783-7207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38971227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered