Individual
DAVID XAVIER PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
325 MAIN ST # 90245, EL SEGUNDO, CA 90245-3814
(310) 590-5902
Mailing address
3500 W 132ND ST, HAWTHORNE, CA 90250-5508
(310) 590-5902
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
305433
CA
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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