Individual
ELI ALBERTO CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
265987
MA
207P00000X
Emergency Medicine Physician
Primary
A128993
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
A128993
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110113407A
—
MA
Enumeration date
11/03/2012
Last updated
03/18/2024
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