Individual
MR. FERNANDO A PORTILLO QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5128 MISSION ST, SAN FRANCISCO, CA 94112-3422
(415) 229-0539
Mailing address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828
(415) 861-0257
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
06/29/2017
Last updated
06/11/2025
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