Diego Jose Avelar Portillo
NPI #1245063106 in Brea, California
Provider Information
- NPI Number
- 1245063106
- Entity Type
- Individual
- Name
- Diego Jose Avelar Portillo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Aug 24, 2024
- Last Updated
- Aug 24, 2024
Practice Location
- Address
- 650 TAMARACK AVE APT 3603
- City
- Brea
- State
- California
- ZIP Code
- 92821-3207
- Phone
- (310) 404-7037
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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