Individual
ABEL A. CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3188 AIRWAY AVE STE F, COSTA MESA, CA 92626-4652
(714) 689-1380
(714) 689-1381
Mailing address
3188 AIRWAY AVE STE F, COSTA MESA, CA 92626-4652
(714) 689-1380
(714) 689-1381
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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