Search › California › 101YA0400X
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
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- 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