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Erendira Manriquez-Castillo

Pediatrics

Allopathic & Osteopathic Physicians

3020 Childrens Way # Mc5003, San Diego, CA 92123

PECOS Enrollment

Based on the most recent information from CMS, provider Erendira Manriquez-Castillo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1356397418
Provider Type
Individual
Full Name
Manriquez-Castillo, Erendira
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
5/26/2006
Last Updated
6/19/2018

Contact Information

Practice Location

3020 Childrens Way # Mc5003, San Diego, CA 92123

(858) 309-6300

Unlisted Fax

Mailing Location

3020 Childrens Way # Mc5003, San Diego, CA 92123-4223

(858) 309-6300

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A75533 California
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License A75533 California

Erendira Manriquez-Castillo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Sandel, Piper Macleod

Nyhan, William Leo

Ball, Bruce Devon

Chisholm, Sarah Elizabeth

Patel, Siri J

Hsieh, Leslie Q

Liu, Yi Hui

Krak, Michael Andrew

Travis, Jessica

Durocher, Marc Alain