Krystal Isabel Carrillo, is a
Social Worker - Clinical based in San Diego, California. Krystal Isabel Carrillo is licensed to practice in California (license number 80068) and her current practice location is
2130 National Ave, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 515-2338.
NPI number for Krystal Isabel Carrillo is 1871906735 and her current mailing address is 823 Gateway Center Way, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871906735.
Healthcare Provider's Profile
Full Name | Krystal Isabel Carrillo |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2130 National Ave, San Diego, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871906735
- Provider Enumeration Date: 06/09/2014
- Last Update Date: 07/31/2018
Medical Identifiers
Medical identifiers for Krystal Isabel Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871906735 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 80068 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Krystal Isabel Carrillo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Krystal Isabel Carrillo, 823 Gateway Center Way, San Diego, CA 92102-4541 Ph: (619) 515-2300 | Krystal Isabel Carrillo, 2130 National Ave, San Diego, CA 92113 Ph: (619) 515-2338 |
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