Individual
MR. BERNARDO JOSE CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2975 ZOE AVE, HUNTINGTON PARK, CA 90255
(322) 826-9449
(323) 582-8500
Mailing address
PO BOX 2203, DOWNEY, CA 90242-0203
(562) 923-2502
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14716
CA
Other
Enumeration date
09/14/2006
Last updated
11/06/2017
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