Individual
DR. KYLE JOSHUA FORTINSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 CITY BLVD W STE 400, ORANGE, CA 92868-2994
(714) 456-6745
Mailing address
12216 PINTADO, IRVINE, CA 92618-0275
(949) 241-1239
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
150474
CA
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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