Carrillo, Carlos

Carrillo, Carlos is an sole proprietor health care provider with primary practice located at 111 Corte Mesa Ave , San Rafael CA 94901-1303. He recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as his primary health care specialty. Carrillo, Carlos can be contacted via phone (415) 879-2525.

Contact Information

Primary practice address
111 Corte Mesa Ave San Rafael CA 94901-1303
Phone: (415) 879-2525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X SRJH102516761 California

Profile Details

NPI number 1528449139
LBN Legal business name Carrillo, Carlos
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2015
Last updated Jun 10th, 2015 - about 11 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.

Request for update

Popular Providers