Individual provider · Type 1 NPI

Job Portillo Lopez, FNP

Family Nurse Practitioner · Indio, CA

NPI number 1871565796 Active

Practice location

81767 Dr Carreon Blvd Ste 102
Indio, CA 92201-5598

Fax (760) 863-5885

Mailing address

80834 Gentle Breeze Dr
Indio, CA 92201-8478

Other practice locations

  • 52565 Cesar Chavez St Ste 104, Coachella, CA 92236-1534 · (760) 398-0606
  • 45677 Oasis St, Indio, CA 92201-4564 · (760) 398-0606
  • 57370 29 Palms Hwy Ste 203, Yucca Valley, CA 92284-2900 · (760) 398-0606

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XNPF9223 RN643640 (CA)
Family Nurse Practitioner Primary 363LF0000X9223 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1871565796

Job Portillo Lopez, FNP's National Provider Identifier is 1871565796, issued on Feb 3, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Indio, CA. The record was last updated on Aug 17, 2023.