Portillo, Jason

Portillo, Jason is an sole proprietor health care provider with primary practice located at 25825 Vermont Ave , Harbor City CA 90710-3518. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Portillo, Jason can be contacted via phone (310) 257-6413.

Contact Information

Primary practice address
25825 Vermont Ave Harbor City CA 90710-3518
Phone: (310) 257-6413
Fax: (310) 517-3094
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A125714 California

Profile Details

NPI number 1427329176
LBN Legal business name Portillo, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2012
Last updated Nov 4th, 2021 - about 3 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 1427329176 NPPES
California Other 114003 SID # 114003

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