Individual provider · Type 1 NPI

Joe Manuel Casillas Jr., MD

Student in an Organized Health Care Education/Training Program · Loma Linda, CA

NPI number 1366610396 Active

Practice location

11234 Anderson St, House Staff Office Cp 21005
Loma Linda, CA 92354-2804

Fax (909) 558-0430

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366610396

Joe Manuel Casillas Jr., MD's National Provider Identifier is 1366610396, issued on Feb 12, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Loma Linda, CA. The record was last updated on Dec 3, 2021.