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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 years ago

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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