Individual
CHRISTIAN DANIEL PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 W FOSTER RD, SANTA MARIA, CA 93455-3620
(805) 934-6520
Mailing address
1104 ORCHID ST, LOMPOC, CA 93436-3547
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
07/13/2026
Last updated
07/27/2026
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