SearchCalifornia101YA0400X

Derrick Fortune

NPI 1386831535 · on the registry since 2007 · sole proprietor

Practice

Address
24625 Arch St
Santa Clarita, CA 91321
Phone
(661) 288-2644
Clinicians at this address
4

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Male
Record last updated
2007-10-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California