Gertrude Carrillo

Speech-Language Pathologist · Lake Forest, CA

Individual Active NPI

NPI number 1447865308

Practice location

22722 Lambert St Ste 1711
Lake Forest, CA 92630-1618
Phone
(949) 329-8161

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NPI record

NPI
1447865308
Entity type
Individual (Type 1)
Enumeration date
September 8, 2020
Last updated
September 8, 2020
Certified
September 8, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 4986 CA

About Gertrude Carrillo

Gertrude Carrillo is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 22722 Lambert St Ste 1711, Lake Forest, CA 92630-1618. The NPI number 1447865308 was assigned on September 8, 2020 and the record was last updated on September 8, 2020.

Gertrude Carrillo lists a license in the registry: #4986 (CA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gertrude Carrillo?

The NPI number is 1447865308.

What is the phone number of Gertrude Carrillo?

The phone number listed for the practice location is (949) 329-8161.

Where is Gertrude Carrillo located?

22722 Lambert St Ste 1711, Lake Forest, CA 92630-1618.

What is the taxonomy code for Gertrude Carrillo?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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