MRS. CONCHITA ESTHER PORTILLA NURSE PRACTITIONER P NPI 1649232075

NPI Information

NPI: 1649232075
Provider Name: MRS. CONCHITA ESTHER PORTILLA, NURSE PRACTITIONER P
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
400 N PEPPER AVE
PEDIATRICS ADMINISTRATION
COLTON, CA
ZIP 92324
Phone: (909) 498-6277
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MRS. Conchita Esther Portilla, NURSE PRACTITIONER P is a pediatrics nurse practitioner in Colton, CA. MRS. Conchita Esther Portilla, NURSE PRACTITIONER P NPI is 1649232075. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 N PEPPER AVE
PEDIATRICS ADMINISTRATION
COLTON, CA
ZIP 92324-819
Phone: (909) 498-6277
Fax: (909) 580-3235

The enumeration date for this NPI number is 4/3/2006 and was last updated on 12/22/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	402401	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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