Individual provider · Type 1 NPI

Lisette Carrillo

Specialist · Oakland, CA

NPI number 1376143040 Active

Practice location

6333 Telegraph Ave
Oakland, CA 94609-1359

Call (510) 923-1099 Map

Fax (510) 923-0894

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1376143040

Lisette Carrillo's National Provider Identifier is 1376143040, issued on Oct 30, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oakland, CA. The record was last updated on Oct 30, 2020.