Individual provider · Type 1 NPI

Maricruz Pat Carrillo

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

NPI number 1790289080 Active

Practice location

446 Alta Rd Ste 6100
San Diego, CA 92158-0001

Call (619) 671-4400 Map

Mailing address

480 Alta Rd
San Diego, CA 92179-0001

Other practice locations

  • 498 Perimeter Rd, San Diego, CA 92158-0001 · (619) 661-6500

Specialties and licenses

TaxonomyCodeLicense
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.

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About NPI 1790289080

Maricruz Pat Carrillo's National Provider Identifier is 1790289080, issued on Mar 21, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Sep 9, 2026.