Provider Demographics
NPI:1649430372
Name:CASTRO, ADRIAN EDGARDO (MD)
Entity type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:EDGARDO
Last Name:CASTRO
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1346 FOOTHILL BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LA CANADA
Mailing Address - State:CA
Mailing Address - Zip Code:91011-2122
Mailing Address - Country:US
Mailing Address - Phone:818-790-5583
Mailing Address - Fax:818-790-9517
Practice Address - Street 1:1346 FOOTHILL BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:LA CANADA
Practice Address - State:CA
Practice Address - Zip Code:91011-2122
Practice Address - Country:US
Practice Address - Phone:818-790-5583
Practice Address - Fax:818-790-9517
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2023-08-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA111530208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics