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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JOB PORTILLO LOPEZ, FNP

Active Sole Proprietor

Family Nurse Practitioner · INDIO, CA

Registration Details

NPI Number
1871565796
Provider Type
Individual
Gender
Male
NPI Issued
Feb 3, 2006 (20.231376781769 yrs)
Last Updated
Aug 17, 2023
Licenses
NPF9223 RN643640 (CA)
9223 (CA)
Sole Proprietor
Yes

Practice Information

Address
81767 DR CARREON BLVD STE 102
INDIO, CA, 922015598
Browse CA providers · Browse ZIP 92201
Phone
7608635355
Fax
7608635885
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in INDIO, CA

Name Credential NPI
DR. GABRIELLE CAMILLE SCHWILK DNP, FNP-BC 1992022453
DONNA TANNAHILL FNP 1689081390
CHRISTINA MORRIS FNP 1841687852
BETTY DEL AGUILA 1689057499
JAMES WATSON 1538539861
MRS. EMMELINE HELEN SOTO-ELLIOTT FNP-C 1528425956
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.