| 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 |