Juan C Carrillo in San Jose - Pediatrics

Juan C Carrillo - NPI 1124048301

Juan C Carrillo is a Pediatrics in San Jose, California. Juan C Carrillo practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Juan C Carrillo is 1124048301. The last update date is 2007-07-09.

Juan C Carrillo's current location address is 2880 Story Rd, San Jose, California. You can contact this provider via phone number 4089295439 and fax number 4089295010. The mailing address for Juan C Carrillo is 2880 Story Rd, San Jose, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Juan C Carrillo
Address 2880 Story Rd, San Jose, California
Phone Number 4089295439
Fax Number 4089295010
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1124048301
Provider Enumeration Date 2006-07-20
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 2880 Story Rd
City San Jose
State California (CA)
Post Code 95127
Phone Number 4089295439
Fax Number 4089295010

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No G57429
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G574290 CA MEDICAL PROVIDER #

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FAQs about Juan C Carrillo

What is the Juan C Carrillo's unique identification number?

The Juan C Carrillo has been assigned the NPI (National Provider Identifier) Number 1124048301 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Juan C Carrillo is physically located?

The Juan C Carrillo is situated at the following address: 2880 Story Rd, San Jose, CA 95127.

What is Juan C Carrillo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Juan C Carrillo is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1124048301 to Juan C Carrillo?

The Centers for Medicare & Medicaid Services originally issued the 1124048301 to Juan C Carrillo on 2006-07-20.

When was the Juan C Carrillo's information last updated?

The Juan C Carrillo's information was last updated on 2007-07-09.

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