NPI 1134389893

Portals House INC

Organisation Exclusive Provider Organization Los Angeles, CA

Practice location

Address: 2500 Wilshire Blvd STE 500, Los Angeles, CA 90057-4310
Phone: (213) 639-0251

Authorised official

Name: Kimberly Ann Payton
Title: Program Aide
Phone: (213) 639-0251

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in California →

Registry record

NPI: 1134389893
Entity type: Organization
NPI issued: 16 Jun 2008
Record last updated: 16 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.