Carrillo, Rene

Carrillo, Rene is an sole proprietor health care provider with primary practice located at 3751 Stocker St , View Park CA 90008-5101. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Carrillo, Rene can be contacted via phone (323) 298-3618.

Contact Information

Primary practice address
3751 Stocker St View Park CA 90008-5101
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 67694 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 102805 California

Profile Details

NPI number 1750670402
LBN Legal business name Carrillo, Rene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2011
Last updated Mar 17th, 2022 - about 2 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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