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

Miriam Carrillo, RDA

Individual provider Dental Assistant · NPI 1306492053

Miriam Carrillo, RDA is a Dental Assistant in Long Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

1835 Ximeno Ave
Long Beach, CA 90815-2850
Phone: (562) 731-0470
Show map & directions

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

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 81473 (CA)

Record details

NPI number1306492053
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDA
Sole proprietorYes
NPI enumeratedAugust 16, 2019
Last updated in NPPESAugust 16, 2019
Mailing address12017 164th St, Norwalk, CA 90650-7245

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