NPI | 1972230217 |
---|---|
Doing Business As | PORTRAIT HEALTH |
Entity Type | Organization |
Authorized Contact | PATRICK BLAKE Chief Medical Officer 858-375-3653 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2022-08-05 |
Last Update Date | 2022-08-18 |