Diego Jose Avelar Portillo
Diego Jose Avelar Portillo is a Student in an Organized Health Care Education/Training Program in Brea, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
650 Tamarack Ave Apt 3603Brea, CA 92821-3207
Phone: (310) 404-7037
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1245063106 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 24, 2024 |
| Last updated in NPPES | August 24, 2024 |
| Certification date | August 24, 2024 |
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