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Organization
PORTOLA MEDICAL SERVICES PC
Active
Organization
PORTOLA MEDICAL SERVICES PC
Active
Other names
Clineva Urgent Care Centers, Clineva Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW A ZELLER DO (CEO)
(949) 813-9728
Entity
Organization
Contact information
Practice address
29100 PORTOLA PKWY, SUITE B, LAKE FOREST, CA 92630-8712
(844) 254-6382
(331) 442-4902
Mailing address
29100 PORTOLA PKWY, SUITE B, LAKE FOREST, CA 92630-8712
(844) 254-6382
(949) 535-1109
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/17/2015
Last updated
04/17/2025
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