Individual
DR. DANIEL LINK FORTMANN
Active
Individual
DR. DANIEL LINK FORTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A37462
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A374620
MEDI-CAL
CA
01
—
1114197142
NPI TYPE I
CA
01
—
1881667400
NPI TYPE II
CA
01
—
WA37462O
MEDICARE PPIN
CA
Enumeration date
03/05/2008
Last updated
03/06/2008
Update your record
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