Mantilla, Guillermo Alberto

Mantilla, Guillermo Alberto is an individual health care provider with primary practice located at 6555 Coyle Ave Ste 280 , Carmichael CA 95608-0302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Mantilla, Guillermo Alberto can be contacted via phone (916) 536-3540.

Contact Information

Primary practice address
6555 Coyle Ave Ste 280 Carmichael CA 95608-0302
Phone: (916) 536-3540
Fax: (916) 536-3541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 42647 Tennessee
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X C159709 California

Profile Details

NPI number 1326234816
LBN Legal business name Mantilla, Guillermo Alberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2007
Last updated Feb 26th, 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 1326234816 NPPES
Tennessee MEDICAID 1512334
Tennessee MEDICAID 7100423880
Tennessee Other 4352401

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