Dr JOSE A CARRILLO is a male medical professional, specializing in Neurology. He graduated in 2005 from Dartmouth Medical School.
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2121 SANTA MONICA BLVD
SANTA MONICA
CA
904042303
Tel: 3108295511
| Npi | 1902006661 |
| Pac Id | 8921145384 |
| Professional Enrollment Id | I20091017000039 |
| Last Name | CARRILLO |
| First Name | JOSE |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | DARTMOUTH MEDICAL SCHOOL |
| Graduation Year | 2005 |
| Primary Specialty | NEUROLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION |
| Group Practice Pac Id | 0840548624 |
| Number Of Group Practice Members | 164 |
| Line 1 Street Address | 2121 SANTA MONICA BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 904042303 |
| Phone Number | 3108295511 |
| Hospital Affiliation Ccn 1 | 050224 |
| Hospital Affiliation Lbn 1 | HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
| Hospital Affiliation Ccn 2 | 050290 |
| Hospital Affiliation Lbn 2 | PROVIDENCE SAINT JOHN'S HEALTH CENTER |
| Hospital Affiliation Ccn 3 | 050353 |
| Hospital Affiliation Lbn 3 | PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE |
| Hospital Affiliation Ccn 4 | 050168 |
| Hospital Affiliation Lbn 4 | ST JUDE MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | 050348 |
| Hospital Affiliation Lbn 5 | UNIVERSITY OF CALIFORNIA IRVINE MED CENTER |
| Professional Accepts Medicare Assignment | Y |
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