Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Junior Forbes Fortune, PA

Individual provider Specialist · NPI 1891715363

Junior Forbes Fortune, PA is a Specialist in Inglewood, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

11161 Crenshaw Blvd
Inglewood, CA 90303-2338
Phone: (310) 419-1067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence PA13021 (CA)

Record details

NPI number1891715363
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 20, 2006
Last updated in NPPESJuly 9, 2007

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