Individual provider · Type 1 NPI

Jon Stephen Portnoff, MD

Cardiovascular Disease Physician · Ukiah, CA

NPI number 1609874445 Active

Practice location

260 Hospital Dr, Suite 207
Ukiah, CA 95482-4533

Fax (707) 463-3520

Mailing address

PO Box 2739
Ukiah, CA 95482-2739

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XA43219 (CA)
Interventional Cardiology Physician 207RI0011XA43219 (CA)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1609874445

Jon Stephen Portnoff, MD's National Provider Identifier is 1609874445, issued on Jul 13, 2005. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Ukiah, CA. The record was last updated on Oct 25, 2012.