# PORTOLA MEDICAL SERVICES PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clineva Urgent Care Centers, Clineva Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871962076
- **Authorized official:** DR. MATTHEW A ZELLER DO (CEO)
- **Authorized official phone:** (949) 813-9728

## Contact information

- **Practice address:** 29100 PORTOLA PKWY, SUITE B, LAKE FOREST, CA 92630-8712
- **Practice address phone:** (844) 254-6382
- **Practice address fax:** (331) 442-4902
- **Mailing address:** 29100 PORTOLA PKWY, SUITE B, LAKE FOREST, CA 92630-8712
- **Mailing address phone:** (844) 254-6382
- **Mailing address fax:** (949) 535-1109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/17/2015
- **Last updated:** 04/17/2025