Portillo, Roger Antonio

Portillo, Roger Antonio is an individual health care provider with primary practice located at 405 N 19Th St , Montebello CA 90640-3942. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Portillo, Roger Antonio can be contacted via phone (323) 788-6298.

Contact Information

Primary practice address
405 N 19Th St Montebello CA 90640-3942
Phone: (323) 788-6298
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW87707 California

Profile Details

NPI number 1487940755
LBN Legal business name Portillo, Roger Antonio
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2011
Last updated Sep 22nd, 2023 - about 2 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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