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NPI Code Detail

MEDICARE: ALICIA CARRILLO MUNOZ

MEDICARE: ALICIA CARRILLO MUNOZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1467504621
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA CARRILLO MUNOZ
Provider Business Mailing Address
First Line : 4892 SAN PABLO DAM RD
Second Line :
City : EL SOBRANTE
State : CA
Zip : 94803-3222
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4892 SAN PABLO DAM RD
Second Line :
City : EL SOBRANTE
State : CA
Zip : 94803-3222
Country : US
Telephone Number : 510-222-3946
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 06/04/2026

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Directions to “ ALICIA CARRILLO MUNOZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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