Portals House INC
NPI #1134389893 in Los Angeles, California
Provider Information
- NPI Number
- 1134389893
- Entity Type
- Organization
- Organization Name
- Portals House INC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Jun 16, 2008
- Last Updated
- Jun 16, 2008
Practice Location
- Address
- 2500 WILSHIRE BLVD STE 500
- City
- Los Angeles
- State
- California
- ZIP Code
- 90057-4310
- Phone
- (213) 639-0251
Authorized Official
- Name
- MS. KIMBERLY ANN PAYTON
- Title
- PROGRAM AIDE
- Phone
- (213) 639-0251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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