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Andrea Perez Portillo
NPI 1639624489 · on the registry since 2016
Practice
- Address
- 1375 Sycamore Ave Apt 211
Hercules, CA 94547 - Phone
- (510) 253-5199
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101Y00000X
101YM0800X
104100000X
390200000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-20
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