Individual
BRIAN ALEXANDER PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1421 W 35TH ST # 1421, 1421, LOS ANGELES, CA 90018-3930
(323) 628-9905
Mailing address
1421 W 35TH ST # 1421, LOS ANGELES, CA 90018-3930
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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