SearchCalifornia103TC0700X

Stephen Portuges, PHD

NPI 1326189929 · on the registry since 2007 · sole proprietor

Practice

Address
3338 Cabrillo Blvd
Los Angeles, CA 90066
Phone
(310) 397-7279
Fax
(310) 636-1997

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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