Carrillo, Eli Alberto

Carrillo, Eli Alberto is an individual health care provider with primary practice located at 300 Pasteur Dr , Stanford CA 94305-2200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Carrillo, Eli Alberto can be contacted via phone (650) 723-4000.

Contact Information

Primary practice address
300 Pasteur Dr Stanford CA 94305-2200
Phone: (650) 723-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 265987 Massachusetts
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X A128993 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A128993 California

Profile Details

NPI number 1346594926
LBN Legal business name Carrillo, Eli Alberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2012
Last updated Mar 18th, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346594926 NPPES
Massachusetts MEDICAID 110113407A

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