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Search › California › 363AM0700X

Melissa Fortner, PAC

NPI 1972584209 · on the registry since 2005

Practice

Address
4290 Polk Ave
San Diego, CA 92105
Phone
(619) 563-0507
Fax
(619) 563-0015
Organisation at this address
San Diego Family Care
San Diego Family Care
San Diego Family Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-13

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