Kelly Portnoff, M.D., Inc.

LBN: Kelly Portnoff, M.D., Inc.
Kelly Portnoff, M.D., Inc. is an health care organization with primary practice located at 25411 Cabot Rd Suite 109, Laguna Hills CA 92653-5520. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as the primary health care specialty. Kelly Portnoff, M.D., Inc. can be contacted via phone (949) 364-5119, or through Offord, Karen E via phone (949) 364-5119.

Contact Information

Primary practice address
25411 Cabot Rd Suite 109 Laguna Hills CA 92653-5520
Phone: (949) 364-5119
Fax: (949) 364-1265
Website:
Map and Directions
Authorized official contact:
Name: Offord, Karen E
Phone: (949) 364-5119

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X A067472 California

Profile Details

NPI number 1144466384
LBN Legal business name Kelly Portnoff, M.D., Inc.
DBA Doing business as
Authorized official Offord, Karen E
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2008
Last updated Dec 17th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144466384 NPPES
California Other WA67472G MEDICARE PPIN

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