Individual provider · Type 1 NPI

Diego Jose Avelar Portillo

Student in an Organized Health Care Education/Training Program · Brea, CA

NPI number 1245063106 Active

Practice location

650 Tamarack Ave Apt 3603
Brea, CA 92821-3207

Call (310) 404-7037 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245063106

Diego Jose Avelar Portillo's National Provider Identifier is 1245063106, issued on Aug 24, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brea, CA. The record was last updated on Aug 24, 2024.