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
Phone: (209) 536-5770
Fax: (209) 536-3596
Website:
Health care specialties
Specialty | Code | License # | 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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