THERESA PORTUGAL

WEST COVINA, CA
NPI1053790824
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  20A15371)
Additional Taxonomies2084P0802X Psychiatry & Neurology, Addiction Psychiatry
(Licence: CA  20A15371)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-05-26
Last Update Date2020-11-11
Business Address
Dr. THERESA PORTUGAL D.O.
1215 W WEST COVINA PKWY
WEST COVINA, CA 91790-2946
Phone number: 626-227-7001
Mailing Address
Dr. THERESA PORTUGAL D.O.
1215 W WEST COVINA PKWY
WEST COVINA, CA 91790-2946
Phone number: