Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARRIE M CARRILLO, PA
ActiveCARRIE M CARRILLO, PA is a Surgical Physician Assistant healthcare provider located in FULLERTON, California. NPI 1588872089 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · FULLERTON, CA
Registration Details
- NPI Number
- 1588872089
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2007 (19.208517276059 yrs)
- Last Updated
- Oct 20, 2021
- License
-
PA17561 (CA)
Practice Information
- Address
-
2141 N HARBOR BLVD STE 35000FULLERTON, CA, 928353831Browse CA providers · Browse ZIP 92835
- Phone
- 7146268630
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in FULLERTON, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. GRACE JIN LEE | P.A.-C | 1912961038 |
| WILLIAM CHARLES ANDREW HALL | PA-C | 1205889326 |
| MR. ROGER WILLIAM SKEBELSKY | PA-C | 1861581563 |
| MS. IVY M. JOHNSON | PA-C | 1962553628 |
| MR. JASON ROBERT COOK | M.S., PA-C | 1831227610 |
| DENNIS WAYNE BRILEY | PA | 1174731640 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.