Fortuna Medical Group Physical Therapy & Rehab

LBN: Fortuna Medical Group Physical Therapy & Rehab
Fortuna Medical Group Physical Therapy & Rehab is an health care organization with primary practice located at 11510 S Fortuna Rd Suite A, Yuma AZ 85367-7886. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Fortuna Medical Group Physical Therapy & Rehab can be contacted via phone (928) 342-7046, or through Lopez, Oswald via phone (928) 342-7046.

Contact Information

Primary practice address
11510 S Fortuna Rd Suite A Yuma AZ 85367-7886
Fax: (928) 342-7018
Website:
Authorized official contact:
Name: Lopez, Oswald OSWALD LOPEZ

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 158 Arizona

Profile Details

NPI number 1730627175
LBN Legal business name Fortuna Medical Group Physical Therapy & Rehab
DBA Doing business as Fortuna Medical Group Physical Therapy & Rehab
Authorized official Lopez, Oswald OSWALD LOPEZ
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 6th, 2017
Last updated Feb 6th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730627175 NPPES
Arizona MEDICAID 142905

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