Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PAUL FORTALEZA, D.O.
ActiveDR. PAUL FORTALEZA, D.O. is a Geriatric Medicine healthcare provider located in NORTH HOLLYWOOD, California. NPI 1336368190 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · NORTH HOLLYWOOD, CA
Registration Details
- NPI Number
- 1336368190
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2007 (19.343240982387 yrs)
- Last Updated
- Oct 22, 2019
- Licenses
-
20A6703 (CA)DO2271 (NV)20A6703 (CA)
Practice Information
- Address
-
6350 LAUREL CANYON BLVD STE 205NORTH HOLLYWOOD, CA, 916063278Browse CA providers · Browse ZIP 91606
- Phone
- 8183252090
- Primary Specialty
-
Geriatric Medicine
207QG0300X
- Additional Specialty
- Geriatric Medicine
- Additional Specialty
- Geriatric Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.