Carrillo, Lawrence

Carrillo, Lawrence is an sole proprietor health care provider with primary practice located at 23119 Cottonwood Ave Ste A100 , Moreno Valley CA 92553-9661. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Carrillo, Lawrence can be contacted via phone (951) 416-5315.

Contact Information

Primary practice address
23119 Cottonwood Ave Ste A100 Moreno Valley CA 92553-9661
Phone: (951) 416-5315
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1306156070
LBN Legal business name Carrillo, Lawrence
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2010
Last updated Apr 17th, 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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