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Jon Stephen Portnoff, MD
Interventional Cardiology Physician in Ukiah, California
NPI 1609874445

Jon Stephen Portnoff is a Interventional Cardiology Physician based in Ukiah, CA and is specialized in Interventional Cardiology. Jon Stephen Portnoff practices in Ukiah, CA and has the professional credentials of MD. The NPI Number for Jon Stephen Portnoff is 1609874445 and holds a License No. A43219 (California).

The current practice location address for Jon Stephen Portnoff is 260 Hospital Dr, Ukiah, CA and can be reached out via phone at 707-463-2400 and via fax at 707-463-3520.

Location: 260 Hospital Dr, Ukiah, CA, 95482-2739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609874445
Provider Name
Jon Stephen Portnoff
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
260 Hospital Dr, Ukiah, CA, 95482-2739
Phone Number
707-463-2400
Fax Number
707-463-3520
Provider Enumeration Date
07/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A432190 05 CA
ZZZ00872Z 01 CA MEDICARE PTAN
00A432190 01 CA BLUE SHIELD OF CALIFORNIA
060020995 01 CA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
260 Hospital Dr
City
Ukiah
State
California
Zip
95482-4533
Phone Number
707-463-2400
Fax Number
707-463-3520
person
Provider Business Mailing Address Details
Address
260 Hospital Dr
City
Ukiah
State
California
Zip
95482-4533
Phone Number
707-463-2400
Fax Number
707-463-3520
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
A43219 (California)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
A43219 (California)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
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