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Keith Carrillo, NP
Family Nurse Practitioner in Compton, California
NPI 1265098784

Keith Carrillo is a Family Nurse Practitioner based in Compton, CA and is specialized in Family. Keith Carrillo practices in Compton, CA and has the professional credentials of NP. The NPI Number for Keith Carrillo is 1265098784 and holds a License No. 95011765 (California).

The current practice location address for Keith Carrillo is 920 N Long Beach Blvd # 2259, Compton, CA and can be reached out via phone at 323-732-0100.

Location: 920 N Long Beach Blvd # 2259, Compton, CA, 90221-2260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265098784
Provider Name
Keith Carrillo
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
920 N Long Beach Blvd # 2259, Compton, CA, 90221-2260
Phone Number
323-732-0100
Fax Number
Provider Enumeration Date
05/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
920 N Long Beach Blvd # 2259
City
Compton
State
California
Zip
90221-2260
Phone Number
323-732-0100
Fax Number
person
Provider Business Mailing Address Details
Address
920 N Long Beach Blvd # 2259
City
Compton
State
California
Zip
90221-2260
Phone Number
323-732-0100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95011765 (California)
Definition
Definition to come...
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