Individual
DELAILA PAOLA PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4445 BURNS AVE, LOS ANGELES, CA 90029-2702
(323) 222-1440
Mailing address
4445 BURNS AVE, LOS ANGELES, CA 90029-2702
(323) 222-1440
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN738284
CA
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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