| Fortuna Family Medicine Inc. | |
|
2404 Newburg Rd Fortuna CA 95540-2818 | |
| (707) 617-2002 | |
| (833) 941-4882 |
| Full Name | Fortuna Family Medicine Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2404 Newburg Rd, Fortuna, California |
| Authorized Official Name and Position | Nathan Dario Brinckhaus (MD) |
| Authorized Official Contact | 7076172002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortuna Family Medicine Inc. 2404 Newburg Rd Fortuna CA 95540-2818 Ph: (707) 617-2002 | Fortuna Family Medicine Inc. 2404 Newburg Rd Fortuna CA 95540-2818 Ph: (707) 617-2002 |
| NPI Number | 1508580705 |
|---|---|
| Provider Enumeration Date | 09/30/2022 |
| Last Update Date | 12/19/2024 |
| Medicare PECOS PAC ID | 6901279264 |
|---|---|
| Medicare Enrollment ID | O20230307002112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508580705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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