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

Kimberly Carrillo

Individual provider Licensed Vocational Nurse · NPI 1699486902

Kimberly Carrillo is a Licensed Vocational Nurse in San Dimas, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

762 Cypress St
San Dimas, CA 91773-3505
Phone: (909) 599-1227
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 728683 (CA)

Record details

NPI number1699486902
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 7, 2022
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022
Mailing address762 Cypress St, San Dimas, CA 91773-3505

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