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Dr. Juan M Carrillo, MD
Specialist in Los Angeles, California
NPI 1619398252

Juan M Carrillo is a Specialist based in Los Angeles, CA. Juan M Carrillo practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Juan M Carrillo is 1619398252 and holds a License No. G 80972 (California).

The current practice location address for Juan M Carrillo is 1104 N Mission Rd, Los Angeles, CA and can be reached out via phone at 323-343-0520 and via fax at 323-225-2752.

Location: 1104 N Mission Rd, Los Angeles, CA, 90033-1017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619398252
Provider Name
Juan M Carrillo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1104 N Mission Rd, Los Angeles, CA, 90033-1017
Phone Number
323-343-0520
Fax Number
323-225-2752
Provider Enumeration Date
12/28/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1104 N Mission Rd
City
Los Angeles
State
California
Zip
90033-1017
Phone Number
323-343-0520
Fax Number
323-225-2752
person
Provider Business Mailing Address Details
Address
1104 N Mission Rd
City
Los Angeles
State
California
Zip
90033-1017
Phone Number
323-343-0520
Fax Number
323-225-2752
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G 80972 (California)
Definition
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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