Portilla, Conchita Esther

Portilla, Conchita Esther is an sole proprietor health care provider with primary practice located at 400 N Pepper Ave Pediatrics Administration, Colton CA 92324-1819. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Portilla, Conchita Esther can be contacted via phone (909) 498-6277.

Contact Information

Primary practice address
400 N Pepper Ave Pediatrics Administration Colton CA 92324-1819
Phone: (909) 498-6277
Fax: (909) 580-3235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 402401 California

Profile Details

NPI number 1649232075
LBN Legal business name Portilla, Conchita Esther
Credentials NURSE PRACTITIONER P
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Dec 22nd, 2014 - about 11 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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