Lopez, Job Portillo
Lopez, Job Portillo is an sole proprietor health care provider with primary practice located at 81767 Dr Carreon Blvd Ste 102 , Indio CA 92201-5598. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Lopez, Job Portillo can be contacted via phone (760) 863-5355.Contact Information
Primary practice address
81767 Dr Carreon Blvd Ste 102
Indio CA 92201-5598
Phone: (760) 863-5355
Fax: (760) 863-5885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NPF9223 RN643640 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9223 | California |
Profile Details
| NPI number | 1871565796 |
|---|---|
| LBN Legal business name | Lopez, Job Portillo |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Aug 17th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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