Portnoff, Jon Stephen

Portnoff, Jon Stephen is an individual health care provider with primary practice located at 260 Hospital Dr Suite 207, Ukiah CA 95482-4533. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Portnoff, Jon Stephen can be contacted via phone (707) 463-2400.

Contact Information

Primary practice address
260 Hospital Dr Suite 207 Ukiah CA 95482-4533
Phone: (707) 463-2400
Fax: (707) 463-3520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A43219 California
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X A43219 California

Profile Details

NPI number 1609874445
LBN Legal business name Portnoff, Jon Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Oct 25th, 2012 - about 13 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 1609874445 NPPES
California MEDICAID 00A432190
California Other ZZZ00872Z
California Other 00A432190
California Other 060020995

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