Portillo, Robert L
Portillo, Robert L is an sole proprietor health care provider with primary practice located at 1304 15Th St Suite 218, Santa Monica CA 90404-1809. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Portillo, Robert L can be contacted via phone (310) 319-0029.Contact Information
Primary practice address
1304 15Th St Suite 218
Santa Monica CA 90404-1809
Phone: (310) 319-0029
Fax: (310) 458-2516
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E1381 | California |
Profile Details
NPI number | 1518098599 |
---|---|
LBN Legal business name | Portillo, Robert L |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 8th, 2007 |
Last updated | Feb 1st, 2008 - about 16 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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