Daley Cie Portillo, PHYSICIAN ASSISTANT
NPI #1619251543 in San Diego, California
Provider Information
- NPI Number
- 1619251543
- Entity Type
- Individual
- Name
- Daley Cie Portillo, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Oct 11, 2011
- Last Updated
- May 11, 2022
Practice Location
- Address
- 9685 VIA EXCELENCIA
- City
- San Diego
- State
- California
- ZIP Code
- 92126-7500
- Phone
- (888) 627-9747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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