Anna Carrillo, M.D., A Medical Corporation
Clinic/Center, Mental Health (Including Community Mental Health Center) in San Diego, CA. Organization (NPI-2).
NPI number1225054927
StatusActive
Last updated in NPPESApr 1, 2025
Details
- NPI
- 1225054927
- Entity type
- Organization (NPI-2)
- Legal business name
- Anna Carrillo, M.D., A Medical Corporation
- Organization subpart
- No
- Enumeration date
- Jul 14, 2006
- Certification date
- Apr 1, 2025
- Last updated
- Apr 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 251K00000X | Public Health or Welfare | A62084 | CA |
Practice location
11665 Avena Pl Ste 204San Diego, CA 92128-2428
Phone 858-848-4028 · Fax 858-381-9769
Mailing address
Po Box 500226San Diego, CA 92150-0226
Phone 858-848-4028 · Fax 858-381-9769
Authorized official
Anna Carrillo
President
8588484028
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