Individual
DR. CAMILO EMILIO CANO PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(323) 533-6800
Mailing address
12717 MITCHELL AVE APT 5, LOS ANGELES, CA 90066-4745
(312) 860-4111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125065052
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A169519
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD-45237
IA
207RP1001X
Pulmonary Disease Physician
A169519
CA
207RP1001X
Pulmonary Disease Physician
MD-45237
IA
Other
Enumeration date
06/26/2014
Last updated
12/30/2024
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