Individual
DR. KI YOUNG LEE PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1520 SAN PABLO ST STE 5100, LOS ANGELES, CA 90033-5310
(323) 442-5790
(323) 442-5740
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5790
(323) 442-5740
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU 1759
CA
Other
Enumeration date
03/25/2007
Last updated
11/27/2023
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