Portillo, Carlos

Portillo, Carlos is an individual health care provider with primary practice located at 20501 Ventura Blvd , Woodland Hills CA 91364-2337. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Portillo, Carlos can be contacted via phone (818) 826-0253.

Contact Information

Primary practice address
20501 Ventura Blvd Woodland Hills CA 91364-2337
Fax: (818) 975-5008
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X R12361610816 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 112333 California

Profile Details

NPI number 1679053342
LBN Legal business name Portillo, Carlos
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2018
Last updated Mar 2nd, 2023 - about 3 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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