David Xavier Portillo, PT, DPT
Physical Therapist, Orthopedic in El Segundo, CA. Individual provider (NPI-1).
NPI number1982467130
StatusActive
Last updated in NPPESJan 31, 2024
Details
- NPI
- 1982467130
- Entity type
- Individual (NPI-1)
- Name
- David Xavier Portillo
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 31, 2024
- Certification date
- Jan 31, 2024
- Last updated
- Jan 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251X0800X | Physical Therapist, Orthopedic | 305433 | CA | Yes |
Practice location
325 Main St # 90245El Segundo, CA 90245-3814
Phone 310-590-5902
Mailing address
3500 W 132nd StHawthorne, CA 90250-5508
Phone 310-590-5902
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All 12 Orthopedic Physical Therapist providers in El Segundo · All 6,342 providers in El Segundo
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