Randall S Fortuna in Loma Linda - Vascular Surgery
Randall S Fortuna - NPI 1285607986
Randall S Fortuna is a Vascular Surgery in Loma Linda, California. Randall S Fortuna practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Randall S Fortuna is 1285607986. The last update date is 2023-10-31.
Randall S Fortuna's current location address is 11175 Campus St Rm 21121, Loma Linda, California. You can contact this provider via phone number 955859599 and fax number 9095580348. The mailing address for Randall S Fortuna is 11175 Campus St Rm 21121, Loma Linda, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall S Fortuna |
|---|---|
| Address | 11175 Campus St Rm 21121, Loma Linda, California |
| Phone Number | 955859599 |
| Fax Number | 9095580348 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1285607986 |
|---|---|
| Provider Enumeration Date | 2006-02-12 |
| Last Updated Date | 2023-10-31 |
Provider Mailing Address Detail
| Address | 11175 Campus St Rm 21121 |
|---|---|
| City | Loma Linda |
| State | California (CA) |
| Post Code | 923501700 |
| Phone Number | 955859599 |
| Fax Number | 9095580348 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 36109764 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7215075 | IL | BLUE SHIELD PROVIDER NUMB | |
| 36109764 | IL | -- | |
| IL0138 | IL | JOHN DEERE | |
| 934932 | AZ | -- | |
| P00038024/CA513 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Randall S Fortuna by the Centers for Medicare & Medicaid Services?
The Randall S Fortuna has been assigned the NPI (National Provider Identifier) 1285607986. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Randall S Fortuna is physically located?
The Randall S Fortuna is situated at the following address: 11175 Campus St Rm 21121, Loma Linda, CA 923501700.
What is Randall S Fortuna's specialized field of practice, and what is the corresponding taxonomy classification code?
The Randall S Fortuna's area of specialization is Vascular Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0129X.
What is Randall S Fortuna's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Randall S Fortuna is Vascular Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0129X.
When was the information regarding Randall S Fortuna most recently updated?
The details pertaining to the Randall S Fortuna, including its address, specialty, and other relevant information, were last refreshed on 2023-10-31.