JUNIOR FORBES FORTUNE (NPI# 1891715363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891715363 |
| Entity Type | Individual |
| Full Name | JUNIOR FORBES FORTUNE |
| Credential | P.A |
| Practice Address |
11161 Crenshaw Blvd Inglewood CA 90303-2338 |
| Practice Telephone | 3104191067 |
| Mailing Telephone | 3104191067 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PA13021 | CA | Other Service Providers |
| Street Address |
11161 CRENSHAW BLVD |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90303-2338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891741385 | Fubos Imaging, Inc. | Clinic/Center | 11161 Crenshaw Blvd, Suite 120, Inglewood, CA 90303-2336 | 2006-05-26 |
| 1386065431 | Terri Ellen Taylor-hopkins | Nurse Practitioner | 11161 Crenshaw Blvd, Suite 200, Inglewood, CA 90303-2336 | 2013-12-16 |
| 1164855458 | Hollywood Hospice Care Inc. | Hospice Care, Community Based | 11161 Crenshaw Blvd, Suite 180, Inglewood, CA 90303-2336 | 2013-08-09 |
| 1639406101 | Amini Medical Care, Inc. | Physician Assistant | 11161 Crenshaw Blvd, 170, Inglewood, CA 90303-2336 | 2009-11-04 |
| 1336170877 | Marvin White | Family Medicine | 11161 Crenshaw Blvd, Suite 210, Inglewood, CA 90303-2336 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972085983 | Jennese Bacon | Specialist/Technologist | 10932 Casimir Ave, Inglewood, CA 90303 | 2018-09-06 |
| 1174032965 | Billy Campbell | Respiratory Therapist, Registered | 11800 Lemoli Ave, Inglewood, CA 90303 | 2017-09-25 |
| 1801347307 | Michelle Adams | Social Worker | 2930 W. Imperial Hwy., Ste. 310, Inglewood, CA 90303 | 2016-10-19 |
| 1740657345 | Raiji Gaines I | Counselor | 2030 W Imperial Hwy Suite 511, Inglewood, CA 90303 | 2015-08-31 |
| 1427336221 | Aaa Dentistry Center | Dentist | 2646 West Imperial Hwy, Inglewood, CA 90303 | 2011-07-27 |
| 1275845232 | Leah Aguirre Montoya | Registered Nurse | 3451 W. Century Blvd., Suite #b-1, Inglewood, CA 90303 | 2010-07-07 |
| 1609008945 | Olawumi Rotimi | Counselor | 3211 West Imperila Hiighway, 3211 West Imperial Highway, Inglewood, CA 90303 | 2009-08-20 |
| 1568694289 | Philip Michael Bockarie | Counselor | 3211 West Imperial Highway, Inglewood, CA 90303 | 2009-08-13 |
| 1942407960 | Los Angeles Drug Treatment Center | Counselor | 3211 West Imperial Hwy, Same As Mailing Address, Inglewood, CA 90303 | 2007-07-02 |
| 1700096369 | Development Specialty Projects, Inc. | Clinic/Center | 3200 West 104 St, Ingelwood, CA 90303 | 2007-05-23 |
| Find all providers in zip 90303 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700336948 | Charmayne Yvonne Cahn | Specialist | 323 N Prairie Ave Ste 425, Inglewood, CA 90301-4506 | 2016-10-12 |
| 1912148347 | Svc Medical Management, LLC. | Specialist | 1200 S Inglewood Ave Ste 210, Inglewood, CA 90301-8123 | 2009-03-15 |
| 1306062476 | Anita W Hibler | Specialist | 933 Centinela Ave Ste B, Inglewood, CA 90302-1501 | 2007-04-17 |
| 1154441509 | Robert Bonilla | Specialist | 418 E. Arbor Vitae St., Inglewood, CA 90301-3450 | 2007-03-30 |
| 1407902240 | Prairie Medical Group Inc | Specialist | 323 N. Prairie Ave, Suite 460, Inglewood, CA 90301 | 2007-01-26 |
| 1346307105 | Delta Dermatology Medical Group | Specialist | 310 N Prairie Ave, Suite 412, Inglewood, CA 90301 | 2007-01-02 |
| 1801996723 | Edem Eno | Specialist | 701 W Arbor Vitae St, Inglewood, CA 90301-3107 | 2006-09-22 |
| 1174621577 | Jehan Mir, A Professional Medical Corporation | Specialist | 301 N Prairie Ave Ste 120, Inglewood, CA 90301-4515 | 2006-09-20 |
| 1427057058 | Khaled K Toumeh | Specialist | 323 N Prairie, Suite 114, Inglewood, CA 90301-4503 | 2005-07-15 |
| 1497751689 | Robert B Chesne | Specialist | 501 E Hardy St, Ste 200, Inglewood, CA 90301-4057 | 2005-06-22 |
| Find all providers in INGLEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.