| Doctor Name: | DR. GAIL PORTANOVA |
| NPI Number: | 1134556574 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | G23414 |
| Business Practice Address: | 601 Foothill Rd Beverly Hills, CA - 902103403 |
| Business Phone Number: | 3102742842 |
| Business Fax Number: | 3102850895 |
| Mailing Address: | 601 Foothill Rd, BEVERLY HILLS |
| State: | CA |
| Postal Code: | 902103403 |
| Phone Number: | 3102742842 |
| Fax Number: | 3102850895 |
| NPI Enumeration Date: | 09/30/2013 |
| NPI Last Update Date: | 09/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | G23414 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |