Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Daley Cie Portillo, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1619251543

Daley Cie Portillo, PHYSICIANASSISTANT is a Physician Assistant in San Diego, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2011
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Practice location Address checks out

9685 Via Excelencia
San Diego, CA 92126-7500
Phone: (888) 627-9747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5420 N Figueroa St, Los Angeles, CA 90042-4118 — (626) 457-5515

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA21917 (CA)

Record details

NPI number1619251543
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 11, 2011
Last updated in NPPESMay 11, 2022
Certification dateAugust 31, 2020

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