Individual provider · Type 1 NPI

Michael Anthony Carrillo

Licensed Vocational Nurse · Indio, CA

NPI number 1336070309 Active

Practice location

47915 Oasis St
Indio, CA 92201-6950

Mailing address

84763 Calle Rojo
Coachella, CA 92236-2836

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X760495 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1336070309

Michael Anthony Carrillo's National Provider Identifier is 1336070309, issued on May 27, 2026. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Indio, CA. The record was last updated on May 27, 2026.