Search › California › 101Y00000X
Van Portlock
NPI 1114153012 · on the registry since 2009 · sole proprietor
Practice
- Address
- 730 Eddy St
Room 204
San Francisco, CA 94109 - Phone
- (415) 353-5655
- Fax
- (415) 673-1266
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 171M00000X
- Sex
- Male
- Record last updated
- 2022-08-25
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