Practice of Medicine
Practice of Medicine is a Geriatric Medicine (Family Medicine) Physician in Eagle Rock, California. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
2607 Colorado Blvd Ste 200Eagle Rock, CA 90041-1086
Phone: (213) 802-2555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Family Medicine) Physician (primary) | Taxonomy 207QG0300X |
|---|
Record details
| NPI number | 1629922083 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Paul Fortaleza — Owner · (213) 802-2555 |
| NPI enumerated | February 23, 2026 |
| Last updated in NPPES | March 16, 2026 |
| Certification date | March 16, 2026 |
| Mailing address | 2607 Colorado Blvd Ste 200, Eagle Rock, CA 90041-1086 |