| Fortani Medical Corp. | |
|
13847 E 14th St Suite 216 San Leandro CA 94578-2632 | |
| (510) 357-3023 | |
| Not Available |
| Full Name | Fortani Medical Corp. |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 13847 E 14th St, San Leandro, California |
| Authorized Official Name and Position | Maryam Fortani (PRESIDENT) |
| Authorized Official Contact | 9252021888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortani Medical Corp. 3255 Gulfstream St Pleasanton CA 94588-3525 Ph: () - | Fortani Medical Corp. 13847 E 14th St Suite 216 San Leandro CA 94578-2632 Ph: (510) 357-3023 |
| NPI Number | 1841579323 |
|---|---|
| Provider Enumeration Date | 08/15/2011 |
| Last Update Date | 03/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841579323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | A 82319 (California) | Primary |
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