Carrillo-Nunez, Ignacio Marcos

Carrillo-Nunez, Ignacio Marcos is an individual health care provider with primary practice located at 1045 Atlantic Ave Ste 719, Long Beach CA 90813-3412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Carrillo-Nunez, Ignacio Marcos can be contacted via phone (562) 591-1324.

Contact Information

Primary practice address
1045 Atlantic Ave Ste 719 Long Beach CA 90813-3412
Phone: (562) 591-1324
Fax: (562) 437-1054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A51049 California

Profile Details

NPI number 1205827201
LBN Legal business name Carrillo-Nunez, Ignacio Marcos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Sep 9th, 2016 - about 9 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 1205827201 NPPES
California Other CK323Z MEDICARE PTAN
California MEDICAID 00A0510490 MEDICARE PTAN

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