Porter, Verna Ruth

Porter, Verna Ruth is an individual health care provider with primary practice located at 1301 20Th St Ste 150 , Santa Monica CA 90404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Porter, Verna Ruth can be contacted via phone (310) 582-7641.

Contact Information

Primary practice address
1301 20Th St Ste 150 Santa Monica CA 90404
Phone: (310) 582-7641
Fax: (310) 315-4069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A55356 California

Profile Details

NPI number 1730107012
LBN Legal business name Porter, Verna Ruth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 19th, 2021 - about 4 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 1730107012 NPPES
California MEDICAID 00A553560

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