Individual
ENRIQUE CARBAJAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4101 TORRANCE BLVD, TORRANCE, CA 90503-4607
(310) 303-6742
Mailing address
7400 HOLLYWOOD BLVD, APT 515, LOS ANGELES, CA 90046-2830
(708) 560-1617
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95004116
CA
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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