Provider Demographics
NPI:1205560463
Name:CASTREJON, PLACIDO RAFAEL (DC)
Entity type:Individual
Prefix:DR
First Name:PLACIDO
Middle Name:RAFAEL
Last Name:CASTREJON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7508 SUNRISE BLVD
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610-3001
Mailing Address - Country:US
Mailing Address - Phone:916-722-5050
Mailing Address - Fax:916-722-0252
Practice Address - Street 1:7508 SUNRISE BLVD
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-3001
Practice Address - Country:US
Practice Address - Phone:916-722-5050
Practice Address - Fax:916-722-0252
Is Sole Proprietor?:No
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC36251111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor