Carrillo, Alicia
Carrillo, Alicia is an sole proprietor health care provider with primary practice located at 21520 Pioneer Blvd Ste 110 , Hawaiian Gardens CA 90716-2604. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Carrillo, Alicia can be contacted via phone (562) 246-5700.Contact Information
Primary practice address
21520 Pioneer Blvd Ste 110
Hawaiian Gardens CA 90716-2604
Phone: (562) 246-5700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X | ||
Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
NPI number | 1811520919 |
---|---|
LBN Legal business name | Carrillo, Alicia |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 17th, 2020 |
Last updated | May 30th, 2023 - about last year |
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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