Organization
FORTINO CASTANEDA, MD., INC
Active
Other names
Fortino, INC. Teleradiology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FORTINO CASTANEDA MD (PRESIDENT)
(626) 437-9516
Entity
Organization
Contact information
Practice address
35 N RAYMOND AVE UNIT 205, PASADENA, CA 91103-4529
(626) 836-8652
(626) 628-1863
Mailing address
35 N RAYMOND AVE UNIT 205, PASADENA, CA 91103-4529
(626) 836-8652
(626) 628-1863
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
A73892
CA
2085N0700X
Neuroradiology Physician
A73892
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A73892
CA
2085R0204X
Vascular & Interventional Radiology Physician
A73892
CA
2085U0001X
Diagnostic Ultrasound Physician
A73892
CA
Other
Enumeration date
02/04/2009
Last updated
05/22/2009
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