Portmore, Amy C.

Portmore, Amy C. is an individual health care provider with primary practice located at 301 Industrial Rd , San Carlos CA 94070. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Portmore, Amy C. can be contacted via phone (650) 596-4000.

Contact Information

Primary practice address
301 Industrial Rd San Carlos CA 94070
Phone: (650) 596-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G79688 California

Profile Details

NPI number 1386792455
LBN Legal business name Portmore, Amy C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jun 4th, 2020 - about 4 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 1386792455 NPPES
California Other 4600644 AETNA PIN
California Other 00G796880 AETNA PIN
California Other 00G796880 AETNA PIN
California Other 00G96880 AETNA PIN

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