Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer M Carrillo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053979542

Jennifer M Carrillo is a Student in an Organized Health Care Education/Training Program in Los Angeles, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

333 S Beaudry Ave
Los Angeles, CA 90017-1466
Phone: (213) 241-3841
Fax: (213) 241-3305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1053979542
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 30, 2019
Last updated in NPPESMay 30, 2019

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