DAVID XAVIER PORTILLO

EL SEGUNDO, CA
NPI1982467130
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: CA  305433)
Enumeration Date2024-01-31
Last Update Date2024-01-31
Business Address
DAVID XAVIER PORTILLO PT, DPT
325 MAIN ST # 90245
EL SEGUNDO, CA 90245-3814
Phone number: 310-590-5902
Mailing Address
DAVID XAVIER PORTILLO PT, DPT
3500 W 132ND ST
HAWTHORNE, CA 90250-5508
Phone number: 310-590-5902
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