Search › California › 363AM0700X
Lupe Portugal, PA
NPI 1083790489 · on the registry since 2006
Practice
- Address
- 317 S La Verne Ave
Los Angeles, CA 90022 - Phone
- (323) 496-3303
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- 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