Individual
MR. JOHN STEVEN PORTWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3838 SHERMAN DR, SUITE 2, RIVERSIDE, CA 92503-4001
(951) 354-7270
(951) 354-0625
Mailing address
3838 SHERMAN DR, SUITE 2, RIVERSIDE, CA 92503-4001
(951) 354-7270
(951) 354-0625
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G51596
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
G51596
CA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
G51596
CA
207XX0801X
Orthopaedic Trauma Physician
G51596
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G546710
—
CA
Enumeration date
04/04/2006
Last updated
03/02/2010
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