Individual
LISETTE CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6333 TELEGRAPH AVE, OAKLAND, CA 94609-1359
(510) 923-1099
(510) 923-0894
Mailing address
6333 TELEGRAPH AVE, OAKLAND, CA 94609-1359
(510) 923-1099
(510) 923-0894
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000111
MEDI-CAL
CA
Enumeration date
10/30/2020
Last updated
10/30/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us