Fortuna Medical Group
Clinic/Center in Yuma, AZ. Organization (NPI-2).
NPI number1386044477
StatusActive
Last updated in NPPESSep 28, 2023
Details
- NPI
- 1386044477
- Entity type
- Organization (NPI-2)
- Legal business name
- Fortuna Medical Group
- Organization subpart
- No
- Enumeration date
- Aug 26, 2014
- Certification date
- Sep 28, 2023
- Last updated
- Sep 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
11510 S Fortuna RdSuite A
Yuma, AZ 85367-7843
Phone 928-342-7046 · Fax 928-342-7018
Mailing address
11510 S Fortuna RdSte A
Yuma, AZ 85367-7843
Phone 928-342-7046 · Fax 928-342-7018
Authorized official
Oswald Lopez
Manager
9283427046
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