Luis A. Portal-Queirolo in Newport Beach - Clinical
Luis A. Portal-Queirolo - NPI 1629169354
Luis A. Portal-Queirolo is a Clinical in Newport Beach, California. Luis A. Portal-Queirolo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Luis A. Portal-Queirolo is 1629169354. The last update date is 2012-10-25.
Luis A. Portal-Queirolo's current location address is 3990 Westerly Pl Ste 160, Newport Beach, California. You can contact this provider via phone number 7144889869 and fax number 9499551216. The mailing address for Luis A. Portal-Queirolo is 3990 Westerly Pl Ste 160, Newport Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Luis A. Portal-Queirolo |
|---|---|
| Address | 3990 Westerly Pl Ste 160, Newport Beach, California |
| Phone Number | 7144889869 |
| Fax Number | 9499551216 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1629169354 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2012-10-25 |
Provider Mailing Address Detail
| Address | 3990 Westerly Pl Ste 160 |
|---|---|
| City | Newport Beach |
| State | California (CA) |
| Post Code | 926602345 |
| Phone Number | 7144889869 |
| Fax Number | 9499551216 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY19146 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Luis A. Portal-Queirolo by the Centers for Medicare & Medicaid Services?
The Luis A. Portal-Queirolo has been assigned the NPI (National Provider Identifier) 1629169354. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Luis A. Portal-Queirolo is physically located?
The Luis A. Portal-Queirolo is situated at the following address: 3990 Westerly Pl Ste 160, Newport Beach, CA 926602345.
What is Luis A. Portal-Queirolo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Luis A. Portal-Queirolo is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date was the 1629169354 assigned to Luis A. Portal-Queirolo?
The Luis A. Portal-Queirolo was issued its 1629169354 on 2006-09-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Luis A. Portal-Queirolo most recently updated or refreshed?
The details pertaining to the Luis A. Portal-Queirolo, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-10-25.
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