Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
FORTUNA FAMILY MEDICAL GROUP INC
Active
Organization
FORTUNA FAMILY MEDICAL GROUP INC
Active
Other names
Olson Goble & Jutila Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE A JUTILA MD (VICE PRESIDENT)
(707) 725-3334
Entity
Organization
Contact information
Practice address
874 MAIN ST, FORTUNA, CA 95540-1926
(707) 725-3334
(707) 725-2455
Mailing address
874 MAIN ST, FORTUNA, CA 95540-1926
(707) 725-3334
(707) 725-2455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0021870
—
CA
01
—
RHM03936F
RURAL HEALTH MEDICAL
—
Enumeration date
08/31/2006
Last updated
09/26/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up