Individual ProviderLuciano CastanedaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address25775 Mcbean Pkwy Ste 215, Valencia, CA 91355-3703(661) 753-5464PECOS EnrollmentBased on the most recent information from CMS, provider Luciano Castaneda is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 10:04 AM.Profile DetailsProvider ID1508202078Provider TypeIndividualFull NameCastaneda, LucianoCredentialMDGenderMaleSole ProprietorYesEnumeration Date5/10/2013Last Updated7/18/2019Contact InformationPractice LocationPractice Address25775 Mcbean Pkwy Ste 215, Valencia, CA 91355-3703Phone(661) 753-5464Fax(661) 753-5465Mailing LocationMailing Address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA135727CaliforniaCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseA135727California