FORTANI MEDICAL CORP. NPI 1841579323

NPI Information

FORTANI MEDICAL CORP. is an adult medicine family medicine in San Leandro, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. FORTANI MEDICAL CORP. NPI is 1841579323. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13847 E 14TH ST
SUITE 216
SAN LEANDRO, CA
ZIP 94578-632
Phone: (510) 357-3023

The provider's authorized official is Maryam Fortani .
The authorized official title is President and has the following contact phone number (925) 202-1888.

The enumeration date for this NPI number is 8/15/2011 and was last updated on 3/5/2012.

Taxonomy Codes

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