Portillo, Ellen Aurora

Portillo, Ellen Aurora is an individual health care provider with primary practice located at 19231 Victory Blvd , Reseda CA 91335-6308. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Portillo, Ellen Aurora can be contacted via phone (818) 708-4500.

Contact Information

Primary practice address
19231 Victory Blvd Reseda CA 91335-6308
Phone: (818) 708-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1548997778
LBN Legal business name Portillo, Ellen Aurora
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2022
Last updated Aug 16th, 2023 - about last year

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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