Individual
CARLOS PORTOCARRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14445 OLIVE VIEW DR, SYLMAR, CA 91342-1437
(818) 448-2785
Mailing address
6250 CANOGA AVE APT 501, WOODLAND HILLS, CA 91367-8305
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
95026908
CA
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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