Provider Demographics
NPI:1851615223
Name:CASTANO, BECKY L (LAC; DIPLOM)
Entity Type:Individual
Prefix:
First Name:BECKY
Middle Name:L
Last Name:CASTANO
Suffix:
Gender:F
Credentials:LAC; DIPLOM
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:
Other - Last Name:MAHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:1429 E THOUSAND OAKS BLVD STE 207
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91362-6237
Mailing Address - Country:US
Mailing Address - Phone:805-206-7615
Mailing Address - Fax:
Practice Address - Street 1:1429 E THOUSAND OAKS BLVD STE 103
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91362-6231
Practice Address - Country:US
Practice Address - Phone:805-206-7615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-15
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC14138171100000X, 171100000X
CAAC-14138171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist