Carrillo, Timothy Joseph
Carrillo, Timothy Joseph is an sole proprietor health care provider with primary practice located at 504 W Vista Way , Vista CA 92083-5704. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Carrillo, Timothy Joseph can be contacted via phone (760) 940-1836.Contact Information
Primary practice address
504 W Vista Way
Vista CA 92083-5704
Phone: (760) 940-1836
Fax: (760) 940-1274
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C1106011523 | California |
Profile Details
| NPI number | 1134472897 |
|---|---|
| LBN Legal business name | Carrillo, Timothy Joseph |
| Credentials | RAS-C1106011523 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2012 |
| Last updated | Oct 18th, 2012 - about 13 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.
Popular Providers
-
Goodban, Marguerite Marie
1010 E Vista Way , Vista CA 92084-4607 -
Caterino, Mary Anne
1010 E Vista Way Ste F , Vista CA 92084-4607 -
Castillo, Martha
915 Brooktree Ln Apt 110 , Vista CA 92081-8639 -
Little, Lamont
1010 E Vista Way , Vista CA 92084-4607 -
Carter, Amy Sue
200 Grapevine Rd. #G27, Vista CA 92083 -
Murphy, Randell Brandon
1010 E Vista Way Suite F , Vista CA 92084 -
Mccue, Wendy Catherine
1010 E Vista Way Suite F, Vista CA 92084-4607 -
Johnson, Judith Ann
504 W Vista Way , Vista CA 92083-5704