Portillo, Alfredo Manuel

Portillo, Alfredo Manuel is an individual health care provider with primary practice located at 18300 Ca-18 , Apple Valley CA 92307. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Portillo, Alfredo Manuel can be contacted via phone (760) 242-2311.

Contact Information

Primary practice address
18300 Ca-18 Apple Valley CA 92307
Phone: (760) 242-2311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 95026013 California

Profile Details

NPI number 1639852635
LBN Legal business name Portillo, Alfredo Manuel
Credentials AG-ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2023
Last updated Aug 8th, 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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