Individual
MS. JANA PORTNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 471-9200
(626) 301-8233
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3514
(626) 408-3911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A80221
CA
207RX0202X
Medical Oncology Physician
Primary
A80221
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A802210
—
CA
Enumeration date
08/25/2006
Last updated
11/27/2023
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