Whalio Doctors

NPI 1285607986

Randall S Fortuna, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Loma Linda, CA

Practice location

Address
11234 Anderson St # 7100, Loma Linda, CA 92354-2804
Phone
(909) 558-4200
Fax
(909) 558-2401
Mailing address
11175 Campus St Rm 21121, Loma Linda, CA 92350-1700

Registered specialties (5)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence A68643 (CA)
Vascular Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 036109764 (IL)
Vascular Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 036-109764 (IL)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 036109764 (IL)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 49534 (AZ)

Registry record

NPI
1285607986
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Feb 2006
Record last updated
31 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.