Individual provider · Type 1 NPI

Jovany Carrillo

Rehabilitation Practitioner · Lakeport, CA

NPI number 1295668093 Active

Practice location

150 S Main St
Lakeport, CA 95453-5017

Call (707) 467-2010 Map

Mailing address

PO Box 2077
Ukiah, CA 95482-2077

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1295668093

Jovany Carrillo's National Provider Identifier is 1295668093, issued on Jun 3, 2026. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Lakeport, CA. The record was last updated on Jun 3, 2026.