RANDALL S FORTUNA

LOMA LINDA, CA
NPI1285607986
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: CA  A68643)
Additional Taxonomies2086S0129X Surgery, Vascular Surgery
(Licence: IL  036109764)
2086S0129X Surgery, Vascular Surgery
(Licence: IL  036-109764)
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: IL  036109764)
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: AZ  49534)
Enumeration Date2006-02-12
Last Update Date2023-10-31
Business Address
Mr. RANDALL S FORTUNA MD
11234 ANDERSON ST # 7100
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4200
Mailing Address
Mr. RANDALL S FORTUNA MD
11175 CAMPUS ST RM 21121
LOMA LINDA, CA 92350-1700
Phone number: 095-585-9599