Jason Portillo, M.D

NPI 1427329176 · on the registry since 2012 · sole proprietor

Practice

Address: 25825 Vermont Ave
Harbor City, CA 90710
Phone: (310) 257-6413
Fax: (310) 517-3094
Organisation at this address: Kaiser Permenente
Southern California Permanente Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 586

Registry record

Primary taxonomy: 208M00000X
208M00000X
Also registered as: 390200000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-11-04

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