Individual provider · Type 1 NPI

Kavisha Nayomaly Carrillo, PA

Physician Assistant · Los Angeles, CA

NPI number 1144864240 Active

Practice location

1510 San Pablo St
Los Angeles, CA 90033-5320

Call (626) 457-6601 Map

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X59390 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1144864240

Kavisha Nayomaly Carrillo, PA's National Provider Identifier is 1144864240, issued on Oct 31, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 27, 2024.