Search › California › 103TS0200X
Khalilah Fortenberry, MA
NPI 1760312037 · on the registry since 2026 · sole proprietor
Practice
- Address
- 551 Marshall Dr
Walnut Creek, CA 94598 - Phone
- (925) 944-6828
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-20
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