Provider Demographics
NPI:1780011726
Name:PORTIZ, PATRICK MANLUTAC (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:MANLUTAC
Last Name:PORTIZ
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Gender:
Credentials:MD, MPH
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Mailing Address - Street 1:2 EMBARCADERO CTR
Mailing Address - Street 2:LOBBY LEVEL
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-3823
Mailing Address - Country:US
Mailing Address - Phone:415-578-3100
Mailing Address - Fax:415-291-0489
Practice Address - Street 1:8570 W SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90069-2312
Practice Address - Country:US
Practice Address - Phone:888-663-6331
Practice Address - Fax:415-252-7176
Is Sole Proprietor?:No
Enumeration Date:2013-10-05
Last Update Date:2025-03-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA127477207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine