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Miguel Porcayo
NPI 1316670649 · on the registry since 2022
Practice
- Address
- 2580 Lake Tahoe Blvd Ste D
South Lake Tahoe, CA 96150 - Phone
- (530) 544-2111
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
171M00000X - Licence states on file
- NULL, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-05
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