Individual
DANILA YESENIA PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4566 FLORENCE AVE STE 5, BELL, CA 90201-4346
(323) 771-7466
Mailing address
4566 FLORENCE AVE SUITE 5, CUDAHY, CA 90201-4346
(323) 771-4661
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95013123
CA
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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