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Mr. Randall S Fortuna, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Loma Linda, California
NPI 1285607986

Randall S Fortuna is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician based in Loma Linda, CA. Randall S Fortuna practices in Loma Linda, CA and has the professional credentials of MD. The NPI Number for Randall S Fortuna is 1285607986 and holds a License No. 036109764 (California).

The current practice location address for Randall S Fortuna is 11234 Anderson St # 7100, Loma Linda, CA and can be reached out via phone at 909-558-4200 and via fax at 909-558-2401. You can also correspond with Randall S Fortuna through the mailing address at 11175 CAMPUS ST RM 21121, LOMA LINDA, CA - 92350-1700 (mailing address contact number: 095-585-9599).

Location: 11234 Anderson St # 7100, Loma Linda, CA, 92350-1700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285607986
Provider Name
Randall S Fortuna
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11234 Anderson St # 7100, Loma Linda, CA, 92350-1700
Phone Number
909-558-4200
Fax Number
909-558-2401
Provider Enumeration Date
02/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07215075 01 IL BLUE SHIELD PROVIDER NUMB
036109764 05 IL
IL0138 01 IL JOHN DEERE
934932 05 AZ
P00038024/CA5138 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
11234 Anderson St # 7100
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-4200
Fax Number
909-558-2401
person
Provider Business Mailing Address Details
Address
11234 Anderson St # 7100
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-4200
Fax Number
909-558-2401
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
036-109764 (Illinois)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
036109764 (Illinois)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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