Rene Carrillo, is a
Social Worker - Clinical based in View Park, California. Rene Carrillo is licensed to practice in California (license number 102805) and his current practice location is
3751 Stocker St, View Park, California. He can be reached at his office (for appointments etc.) via phone at
(323) 298-3618.
NPI number for Rene Carrillo is 1750670402 and his current mailing address is 3751 Stocker St, View Park, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750670402.
Healthcare Provider's Profile
Full Name | Rene Carrillo |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 3751 Stocker St, View Park, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750670402
- Provider Enumeration Date: 04/04/2011
- Last Update Date: 03/17/2022
Medical Identifiers
Medical identifiers for Rene Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750670402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 67694 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 102805 (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. Rene 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 |
Rene Carrillo, 3751 Stocker St, View Park, CA 90008-5101 Ph: (323) 298-3618 | Rene Carrillo, 3751 Stocker St, View Park, CA 90008-5101 Ph: (323) 298-3618 |
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