Organization
FORTRA MEDICAL GROUP OF CALIFORNIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE SAXENA NP (LEAD NURSE PRACTITIONER)
(650) 466-6364
Entity
Organization
Contact information
Practice address
570 PRICE AVE STE 400, REDWOOD CITY, CA 94063-1433
(650) 466-6364
Mailing address
570 PRICE AVE STE 400, REDWOOD CITY, CA 94063-1433
(650) 466-6364
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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