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Search › California › 101YA0400X

Luz Portugal

NPI 1053989020 · on the registry since 2021

Practice

Address
6145 Imperial Ave
San Diego, CA 92114
Phone
(619) 234-8888
Organisation at this address
San Diego Second Chance Program
San Diego Second Chance Program
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
174400000X
Sex
Female
Record last updated
2024-03-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California