KELLY PORTNOFF, M.D., INC.
Osteopathic Medicine at Cabot Rd, Laguna Beach, CA

License number
California A067472
Category
Osteopathic Medicine
Type
Rheumatology
Owner
Name: MRS. KAREN E OFFORD
Title: OFFICE MANAGER
Phone: (949) 364-5119
Address
Address
25411 Cabot Rd SUITE 109, Laguna Beach, CA 92653
National Provider ID: 1144466384
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KELLY PORTNOFF, M.D., INC. at bizstanding.com

KELLY PORTNOFF, M.D., INC

25411 Cabot Rd STE 109, Laguna Hills, CA 92653

Status:
Inactive
Registration:
Oct 22, 2004
State ID:
C2690245
Business type:
Articles of Incorporation
President:
Kelly Portnoff President, inactive
Agent:
David P Berschauer,Laguna Hills, CA 92653 (Physical)

Osteopathic Medicine licenses in California










Other Doctors licenses in California