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1962998930
EBERTO PORTUGAL
LOS ANGELES, CA
NPI
1962998930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2018-07-02
Last Update Date
2023-08-21
Business Address
EBERTO PORTUGAL
3031 S VERMONT AVE
LOS ANGELES, CA 90007-3033
Phone number: 323-373-2400
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Mailing Address
EBERTO PORTUGAL
3031 S VERMONT AVE
LOS ANGELES, CA 90007-3033
Phone number: 323-373-2400
Copy
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