Maria Carrillo

NPI 1053003194 · on the registry since 2023

Practice

Address: 1200 Venice Blvd
Los Angeles, CA 90006
Phone: (323) 233-0425
Organisation at this address: Chaparral Medical Group Inc
Kedren Community Mental Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 172V00000X
172V00000X
Also registered as: 171M00000X
373H00000X
390200000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-05-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California