Carrillo, Alfonso Julius

Carrillo, Alfonso Julius is an individual health care provider with primary practice located at 8599 Haven Ave. Suite 300, Rancho Cucamonga CA 91730-4849. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Carrillo, Alfonso Julius can be contacted via phone (909) 620-8180.

Contact Information

Primary practice address
8599 Haven Ave. Suite 300 Rancho Cucamonga CA 91730-4849
Phone: (909) 620-8180
Fax: (909) 919-7288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G77083 California
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X G77083 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25000064 Ohio
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 25000064 Ohio

Profile Details

NPI number 1316906894
LBN Legal business name Carrillo, Alfonso Julius
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Mar 21st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316906894 NPPES
Ohio Other 000000500781 ANTHEM
Ohio MEDICAID 2694660 ANTHEM
Ohio Other P00383076 ANTHEM
Ohio MEDICAID 00G770830 ANTHEM

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