Organization
JOHN J. FORTIER, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEE COCKRELL (OFICE MANAGER)
(626) 284-3777
Entity
Organization
Contact information
Practice address
1001 E MAIN ST, ALHAMBRA, CA 91801-4110
(626) 284-3111
(626) 284-1002
Mailing address
1001 E MAIN ST, ALHAMBRA, CA 91801-4110
(626) 284-3111
(626) 284-1002
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A16184
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YYY43019Y
—
CA
Enumeration date
11/05/2007
Last updated
11/05/2007
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