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

Luz Guadalupe Portugal

Individual provider Specialist · NPI 1053989020

Luz Guadalupe Portugal is a Specialist in San Diego, California. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

6145 Imperial Ave
San Diego, CA 92114-4213
Phone: (619) 234-8888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Specialist Taxonomy 174400000X

Record details

NPI number1053989020
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 15, 2021
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024

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