Individual provider · Type 1 NPI

Vladimir Alexander Portillo

Case Management Registered Nurse · Lynwood, CA

NPI number 1942764733 Active

Practice location

3820 Martin Luther King Jr Blvd
Lynwood, CA 90262-3625

Mailing address

14819 Gridley Rd
Norwalk, CA 90650-5723

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400X95098347 (CA)

Case Management Registered Nurse: Definition to come...

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About NPI 1942764733

Vladimir Alexander Portillo's National Provider Identifier is 1942764733, issued on Jan 25, 2019. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Lynwood, CA. The record was last updated on Jan 25, 2019.