Carrillo, Thomas L.
Carrillo, Thomas L. is an sole proprietor health care provider with primary practice located at 4091 Riverside Dr , Chino CA 91710-6501. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Carrillo, Thomas L. can be contacted via phone (909) 591-3300.Contact Information
Primary practice address
4091 Riverside Dr
Chino CA 91710-6501
Phone: (909) 591-3300
Fax: (562) 943-3100
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY17019 | California |
Profile Details
NPI number | 1922155324 |
---|---|
LBN Legal business name | Carrillo, Thomas L. |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 5th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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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