Dr. Paul Fortaleza
Emergency Physician Family Doctor - Geriatric Medicine
6350 Laurel Canyon Blvd Ste 205
North Hollywood
, California 91606-3278
Dr. Paul Fortaleza
Emergency Physician Family Doctor - Geriatric Medicine
6350 Laurel Canyon Blvd Ste 205
North Hollywood
, California 91606-3278
(818) 325-2090
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About
Features
Specialties
- Emergency Physician
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Paul Fortaleza
- 6350 Laurel Canyon Blvd Ste 205
- North Hollywood, CA
- Zip : 91606-3278
- Phone : (818) 325-2090
Second Address
- Dr. Paul Fortaleza
- 6350 Laurel Canyon Blvd Ste 205
- North Hollywood, CA
- Zip : 91606-3278
- Phone : (818) 325-2090
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 20A6703 | CA |
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 20A6703 | CA |
| N | 207QG0300X | Family Doctor - Geriatric Medicine | DO2271 | NV |
National Provider Identifier
| NPI | 1336368190 |
|---|---|
| Provider Name | Dr. Paul Fortaleza |
| First Address | North Hollywood, CA 91606-3278 |
| Second Address | North Hollywood, CA 91606-3278 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2007 |
| Last Update Date | 22/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.