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Elizabeth De La Portilla, DO
Student in an Organized Health Care Education/Training Program in Colton, California
NPI 1497191225

Elizabeth De La Portilla is a Student in an Organized Health Care Education/Training Program based in Colton, CA. Elizabeth De La Portilla practices in Colton, CA and has the professional credentials of DO. The NPI Number for Elizabeth De La Portilla is 1497191225 and holds a License No. (California).

The current practice location address for Elizabeth De La Portilla is 400 N Pepper Ave Ste 204, Colton, CA and can be reached out via phone at 909-580-6266.

Location: 400 N Pepper Ave Ste 204, Colton, CA, 92324-1801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497191225
Provider Name
Elizabeth De La Portilla
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
400 N Pepper Ave Ste 204, Colton, CA, 92324-1801
Phone Number
909-580-6266
Fax Number
Provider Enumeration Date
05/20/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 N Pepper Ave Ste 204
City
Colton
State
California
Zip
92324-1801
Phone Number
909-580-6266
Fax Number
person
Provider Business Mailing Address Details
Address
400 N Pepper Ave Ste 204
City
Colton
State
California
Zip
92324-1801
Phone Number
909-580-6266
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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