Search › California › 1041C0700X
Roger Portillo
NPI 1487940755 · on the registry since 2011
Practice
- Address
- 405 N 19th St
Montebello, CA 90640 - Phone
- (323) 788-6298
Additional practice sites
- 11741 Telegraph Rd, Santa Fe Springs, CA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-22
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