Individual
MICHAEL THOMAS FORINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
G76890
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G76890
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G768900
BLUE SHIELD OF CA
—
05
—
00G768900
—
CA
01
—
00G768900 159
CALOPTIMA
—
01
—
053304CG32896
TRAILBLAZER
—
01
—
P00144972
RAILROAD MEDICARE
—
Enumeration date
07/18/2005
Last updated
08/15/2008
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