Dr TANIA M PORTILLO is a female medical professional, specializing in Emergency Medicine. She graduated in 2013 from Irvine California College Of Medicine.
MARQUE MEDICAL CLINIC, INC.
6136 LAKE MURRAY BLVD
LA MESA
CA
919422502
Tel: 9497609222
| Npi | 1124435896 |
| Pac Id | 3375833346 |
| Professional Enrollment Id | I20160602002120 |
| Last Name | PORTILLO |
| First Name | TANIA |
| Middle Name | M |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | IRVINE CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | EMERGENCY MEDICINE |
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| Organization Legal Name | MARQUE MEDICAL CLINIC, INC. |
| Group Practice Pac Id | 9537345665 |
| Number Of Group Practice Members | 44 |
| Line 1 Street Address | 6136 LAKE MURRAY BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LA MESA |
| State | CA |
| Zip Code | 919422502 |
| Phone Number | 9497609222 |
| Hospital Affiliation Ccn 1 | 050026 |
| Hospital Affiliation Lbn 1 | GROSSMONT HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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