Provider Demographics
NPI:1720507049
Name:CASTRO, ALVARO ALBERTO (SLPA)
Entity Type:Individual
Prefix:MR
First Name:ALVARO
Middle Name:ALBERTO
Last Name:CASTRO
Suffix:
Gender:M
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5411 1/2 FERNWOOD AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-5688
Mailing Address - Country:US
Mailing Address - Phone:213-215-5674
Mailing Address - Fax:
Practice Address - Street 1:405 E ESPLANADE DR STE 102
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-2179
Practice Address - Country:US
Practice Address - Phone:805-485-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-18
Last Update Date:2017-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30942355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant