Portale, Anthony A.

Portale, Anthony A. is an individual health care provider with primary practice located at 505 Parnassus Ave , San Francisco CA 94143-2204. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Portale, Anthony A. can be contacted via phone (415) 476-2423.

Contact Information

Primary practice address
505 Parnassus Ave San Francisco CA 94143-2204
Phone: (415) 476-2423
Fax: (415) 476-9976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G34347 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G34347 California

Profile Details

NPI number 1861433989
LBN Legal business name Portale, Anthony A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861433989 NPPES
California MEDICAID 00G343470

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