| Vincent M Fortanasce Md, Inc | |
|
289 W Huntington Dr Ste 309 Arcadia CA 91007-3493 | |
| (626) 445-8481 | |
| Not Available |
| Full Name | Vincent M Fortanasce Md, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 289 W Huntington Dr Ste 309, Arcadia, California |
| Authorized Official Name and Position | Tiffany N. Sam (OFFICE MANAGER) |
| Authorized Official Contact | 6264458481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent M Fortanasce Md, Inc 289 W Huntington Dr Ste 309 Arcadia CA 91007-3493 Ph: (626) 445-8481 | Vincent M Fortanasce Md, Inc 289 W Huntington Dr Ste 309 Arcadia CA 91007-3493 Ph: (626) 445-8481 |
| NPI Number | 1568567055 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 06/12/2020 |
| Certification Date | 06/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568567055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A25976 (California) | Primary |
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