Individual
DR. DIANA KATHLEEN FORT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
VERDUGO HILLS MEDICAL ASSOCIATES, 544 NORTH GLENDALE AVE., GLENDALE, CA 91206
(818) 241-4331
Mailing address
2742 MAYFIELD AVE, LA CRESCENTA, CA 91214-3816
(818) 249-9134
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A72238
CA
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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