Peter Ernest Carrillo
Peter Ernest Carrillo is a Rehabilitation Practitioner in Van Nuys, California. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
15339 Saticoy StVan Nuys, CA 91406-3345
Phone: (323) 854-3130
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Rehabilitation Practitioner | Taxonomy 225400000X |
Record details
| NPI number | 1023637139 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 9, 2020 |
| Last updated in NPPES | September 2, 2020 |
| Certification date | September 2, 2020 |
| Mailing address | 15339 Saticoy St, Van Nuys, CA 91406 |
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Angelica Ceja
15339 Saticoy St, Van Nuys, CA 91406-3345 · (818) 355-9186
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