Individual
JHEANETT ANGELES PORTOBANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY35811
Contact information
Practice address
6620 VIA DEL ORO, SAN JOSE, CA 95119-1392
(408) 660-3218
Mailing address
6620 VIA DEL ORO, SAN JOSE, CA 95119-1392
(408) 660-3218
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY35811
CA
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/12/2018
Last updated
02/08/2026
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