Individual
ANNA CRISTINA CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11665 AVENA PL STE 204, SAN DIEGO, CA 92128-2428
(858) 848-4028
(858) 381-9769
Mailing address
PO BOX 500226, SAN DIEGO, CA 92150-0226
(858) 848-4028
(858) 381-9769
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A62084
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A62084
—
CA
Enumeration date
07/14/2006
Last updated
04/29/2025
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