J Carlos Portillo, D.C.
Chiropractor in San Jose, CA. Individual provider (NPI-1).
NPI number1982121828
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982121828
- Entity type
- Individual (NPI-1)
- Name
- J Carlos Portillo
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 22, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 18923 | CA | Yes |
Practice location
1836 Hamilton AveSan Jose, CA 95125-5631
Phone 408-459-8340
Mailing address
1836 Hamilton AveSan Jose, CA 95125-5631
Phone 408-459-8340
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