Portillo, Robert J

Portillo, Robert J is an individual health care provider with primary practice located at 1212 N California St , Stockton CA 95202-1552. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Portillo, Robert J can be contacted via phone (209) 380-1945.

Contact Information

Primary practice address
1212 N California St Stockton CA 95202-1552
Phone: (209) 380-1945
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Community Health Worker 172V00000X California

Profile Details

NPI number 1841538949
LBN Legal business name Portillo, Robert J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2013
Last updated Dec 19th, 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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