Portugal, Theresa
Portugal, Theresa is an individual health care provider with primary practice located at 1215 W West Covina Pkwy , West Covina CA 91790-2946. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Portugal, Theresa can be contacted via phone (626) 227-7001.Contact Information
Primary practice address
1215 W West Covina Pkwy
West Covina CA 91790-2946
Phone: (626) 227-7001
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 20A15371 | California |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 20A15371 | California |
Profile Details
NPI number | 1053790824 |
---|---|
LBN Legal business name | Portugal, Theresa |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 26th, 2015 |
Last updated | Nov 11th, 2020 - about 5 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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