Organization
FORTUNA FAMILY MEDICINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN DARIO BRINCKHAUS (MD)
(707) 617-2002
Entity
Organization
Contact information
Practice address
2404 NEWBURG RD, FORTUNA, CA 95540-2818
(707) 617-2002
(833) 941-4882
Mailing address
2404 NEWBURG RD, FORTUNA, CA 95540-2818
(707) 617-2002
(833) 941-4882
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
05/29/2026
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