Individual provider · Type 1 NPI

Lauren Ashley Carrillo

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

NPI number 1528616265 Active

Practice location

9916 Central Ave
Montclair, CA 91763-3201

Fax (909) 450-2637

Mailing address

2002 Sheryl Pl
West Covina, CA 91792-1336

Other practice locations

  • 762 Cypress St, San Dimas, CA 91773-3505 · (909) 599-1227

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
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.

36 other providers at this address

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About NPI 1528616265

Lauren Ashley Carrillo's National Provider Identifier is 1528616265, issued on Aug 27, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Montclair, CA. The record was last updated on Aug 13, 2020.