Carlos Portillo, is a
Social Worker - Clinical based in Woodland Hills, California. Carlos Portillo is licensed to practice in California (license number 112333) and his current practice location is
20501 Ventura Blvd, Woodland Hills, California. He can be reached at his office (for appointments etc.) via phone at
(818) 826-0253.
NPI number for Carlos Portillo is 1679053342 and his current mailing address is 20501 Ventura Blvd Ste 170, Woodland Hills, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679053342.
Healthcare Provider's Profile
| Full Name | Carlos Portillo |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 20501 Ventura Blvd, Woodland Hills, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679053342
- Provider Enumeration Date: 08/21/2018
- Last Update Date: 03/02/2023
Medical Identifiers
Medical identifiers for Carlos Portillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679053342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R12361610816 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 112333 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carlos Portillo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Carlos Portillo,
20501 Ventura Blvd Ste 170,
Woodland Hills, CA 91364-6258
Ph: (818) 826-0253 | Carlos Portillo,
20501 Ventura Blvd,
Woodland Hills, CA 91364-2337
Ph: (818) 826-0253 |
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