Individual provider · Type 1 NPI

Juan M. Carrillo, MD

Specialist · Los Angeles, CA

NPI number 1619398252 Active

Practice location

1104 N Mission Rd
Los Angeles, CA 90033-1017

Call (323) 343-0520 Map

Fax (323) 225-2752

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG 80972 (CA)

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 1619398252

Juan M. Carrillo, MD's National Provider Identifier is 1619398252, issued on Dec 28, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 28, 2013.