Individual
SAMUEL FORTUN TECSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3445 LARGA AVE, LOS ANGELES, CA 90039-1923
(323) 420-6385
Mailing address
3445 LARGA AVE, LOS ANGELES, CA 90039-1923
(323) 420-6385
Taxonomy
Speciality
Code
Description
License number
State
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
Primary
32126
CA
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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