| Donald J Portocarrero D O Inc | |
|
623 W Duarte Rd Ste 8 Arcadia CA 91007-7349 | |
| (626) 461-5408 | |
| (626) 461-5436 |
| Full Name | Donald J Portocarrero D O Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 623 W Duarte Rd Ste 8, Arcadia, California |
| Authorized Official Name and Position | Donald J Portocarrero (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6264615408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald J Portocarrero D O Inc 122a E Foothill Blvd Unit 304 Arcadia CA 91006-2505 Ph: (626) 461-5408 | Donald J Portocarrero D O Inc 623 W Duarte Rd Ste 8 Arcadia CA 91007-7349 Ph: (626) 461-5408 |
| NPI Number | 1144824285 |
|---|---|
| Provider Enumeration Date | 11/30/2020 |
| Last Update Date | 03/14/2024 |
| Medicare PECOS PAC ID | 3779997440 |
|---|---|
| Medicare Enrollment ID | O20210121000987 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144824285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Donald J Portocarrero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841503570 PECOS PAC ID: 6305078726 Enrollment ID: I20140416001904 |
| Provider Name | Patricia De La Rocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194580845 PECOS PAC ID: 9638517287 Enrollment ID: I20240402003426 |
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