Portillo, America
Portillo, America is an individual health care provider with primary practice located at 7281 Garden Grove Blvd Ste H , Garden Grove CA 92841-4212. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Portillo, America can be contacted via phone (714) 914-0515.Contact Information
Primary practice address
7281 Garden Grove Blvd Ste H
Garden Grove CA 92841-4212
Phone: (714) 914-0515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1336569284 |
|---|---|
| LBN Legal business name | Portillo, America |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2014 |
| Last updated | Apr 18th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336569284 | NPPES |
| California | Other | 90397735F13358 | BENEFITS IDENTIFICATION CARD |
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