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NPI Code Detail

MEDICARE: DR. PATRICK MANLUTAC PORTIZ M.D., M.P.H.

MEDICARE:  DR. PATRICK MANLUTAC PORTIZ  M.D., M.P.H.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA127477CA

General Provider Information

NPI Number : 1780011726
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK MANLUTAC PORTIZ M.D., M.P.H.
Provider Business Mailing Address
First Line : 2 EMBARCADERO CTR
Second Line : LOBBY LEVEL
City : SAN FRANCISCO
State : CA
Zip : 94111-3823
Country : US
Telephone Number : 415-578-3100
Fax Number : 415-291-0489
Provider Business Practice Location Address
First Line : 8570 W SUNSET BLVD
Second Line :
City : WEST HOLLYWOOD
State : CA
Zip : 90069-2312
Country : US
Telephone Number : 888-663-6331
Fax Number : 415-252-7176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2013
Last Update Date : 03/14/2025

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