Organization
EL PORTALITO
Active
Other names
CHEF GABE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN ENRIQUE CEJA (OWNER)
(209) 647-9904
Entity
Organization
Contact information
Practice address
1149 E MARKET ST, STOCKTON, CA 95205-5525
(209) 647-9904
Mailing address
3934 JESSICA CT, STOCKTON, CA 95206-6444
(209) 647-9904
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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