Organization
VINCENT M FORTANASCE MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY N. SAM (OFFICE MANAGER)
(626) 445-8481
Entity
Organization
Contact information
Practice address
289 W HUNTINGTON DR STE 309, ARCADIA, CA 91007-3493
(626) 445-8481
Mailing address
289 W HUNTINGTON DR STE 309, ARCADIA, CA 91007-3493
(626) 445-8481
(626) 574-9669
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A25976
CA
Other
Enumeration date
09/13/2006
Last updated
06/12/2020
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