Carrillo, Diana Marcela

Carrillo, Diana Marcela is an individual health care provider with primary practice located at 2107 N Broadway Ste 207 , Santa Ana CA 92706-2625. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalysis, which is considered as her primary health care specialty. Carrillo, Diana Marcela can be contacted via phone (714) 972-0000.

Contact Information

Primary practice address
2107 N Broadway Ste 207 Santa Ana CA 92706-2625
Phone: (714) 972-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X

Profile Details

NPI number 1063796696
LBN Legal business name Carrillo, Diana Marcela
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2011
Last updated Jun 11th, 2019 - about 5 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 1063796696 NPPES
California Other 1063796696 INDIVIDUAL

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