Individual
MRS. CONCHITA ESTHER PORTILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER P
Contact information
Practice address
400 N PEPPER AVE, PEDIATRICS ADMINISTRATION, COLTON, CA 92324-1819
(909) 498-6277
(909) 580-3235
Mailing address
400 N. PEPPER AVE., PEDIATRICS ADMINISTRATION, COLTON, CA 92324-1819
(909) 498-6277
(909) 580-3235
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
402401
CA
Other
Enumeration date
04/03/2006
Last updated
12/22/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us