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Organization
HERMAN CARRILLO MD
Active
Organization
HERMAN CARRILLO MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERMAN CARRILLO M.D. (PRESIDENT)
(626) 338-4088
Entity
Organization
Contact information
Practice address
14342 RAMONA BLVD, BALDWIN PARK, CA 91706-3241
(626) 338-4088
(626) 814-9068
Mailing address
14342 RAMONA BLVD, BALDWIN PARK, CA 91706-3241
(626) 338-4088
(626) 814-9068
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A45086
CA
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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