Organization
JUAN C CARRILLO MD A PROFESSIONAL CORPORATION
Active
Other names
BUENA SALUD PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN C CARRILLO MD (MD)
(408) 929-5439
Entity
Organization
Contact information
Practice address
2880 STORY RD FL 2, SAN JOSE, CA 95127-3942
(408) 929-5439
(408) 929-5010
Mailing address
2880 STORY RD FL 2, SAN JOSE, CA 95127-3942
(408) 929-5439
(408) 929-5010
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G574290
CA
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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