Carrillo, Thomas L.

Carrillo, Thomas L. is an sole proprietor health care provider with primary practice located at 4091 Riverside Dr , Chino CA 91710-6501. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Carrillo, Thomas L. can be contacted via phone (909) 591-3300.

Contact Information

Primary practice address
4091 Riverside Dr Chino CA 91710-6501
Phone: (909) 591-3300
Fax: (562) 943-3100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY17019 California

Profile Details

NPI number 1922155324
LBN Legal business name Carrillo, Thomas L.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
Last updated Jul 8th, 2007 - about 19 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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