Provider Demographics
NPI:1760491344
Name:CASTLEMAN, ERIC J (MD)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:J
Last Name:CASTLEMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1360 W 6TH ST STE 315
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90732-3581
Mailing Address - Country:US
Mailing Address - Phone:310-547-9922
Mailing Address - Fax:310-547-4673
Practice Address - Street 1:2841 LOMITA BLVD
Practice Address - Street 2:STE. 100
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5105
Practice Address - Country:US
Practice Address - Phone:310-257-0508
Practice Address - Fax:310-325-8109
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG43363207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG43363IMedicare ID - Type Unspecified
CA49322Medicare UPIN
CAWG43363PMedicare ID - Type Unspecified
CAWG43363OMedicare ID - Type Unspecified
CAWG43363MMedicare ID - Type Unspecified
CAWG43363HMedicare ID - Type Unspecified
CAWG43363KMedicare ID - Type Unspecified