Provider Demographics
NPI:1255802344
Name:CASTELLON, ARMANDO LUIS (MS)
Entity type:Individual
Prefix:MR
First Name:ARMANDO
Middle Name:LUIS
Last Name:CASTELLON
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 E DYER RD
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-5606
Mailing Address - Country:US
Mailing Address - Phone:714-944-8133
Mailing Address - Fax:
Practice Address - Street 1:1231 E DYER RD
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-5606
Practice Address - Country:US
Practice Address - Phone:714-944-8133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health