| Organization Name: | CARRILLO, URBINA & CASTUERA, MDS INC |
| NPI Number: | 1811184526 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARVIN URBINA (PRESIDENT) |
| Mailing Address: | 4451 Holt Blvd Montclair |
| State: | CA US |
| Postal Code: | 917634116 |
| Phone Number: | 9096243033 |
| Fax Number: | 9096248440 |
| NPI Enumeration Date: | 09/26/2007 |
| NPI Last Update Date: | 02/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A71133 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |