Individual provider · Type 1 NPI

Kimberly Carrillo

Licensed Vocational Nurse · San Dimas, CA

NPI number 1699486902 Active

Practice location

762 Cypress St
San Dimas, CA 91773-3505

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X728683 (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 1699486902

Kimberly Carrillo's National Provider Identifier is 1699486902, issued on Dec 7, 2022. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in San Dimas, CA. The record was last updated on Dec 7, 2022.