Portillo, Michael Richard

Portillo, Michael Richard is an sole proprietor health care provider with primary practice located at 680 Guzzi Ln Ste 106 , Sonora CA 95370-5288. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Portillo, Michael Richard can be contacted via phone (209) 536-5770.

Contact Information

Primary practice address
680 Guzzi Ln Ste 106 Sonora CA 95370-5288
Fax: (209) 536-3596
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A144432 California

Profile Details

NPI number 1306235957
LBN Legal business name Portillo, Michael Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2015
Last updated Dec 14th, 2017 - about 7 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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