SearchCalifornia175T00000X

Brian Portillo

NPI 1295692812 · on the registry since 2026

Practice

Address
1421 W 35th St # 1421
1421
Los Angeles, CA 90018
Phone
(323) 628-9905

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-06

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