Provider Demographics
NPI:1205526969
Name:FORTU, JOSIE
Entity type:Individual
Prefix:
First Name:JOSIE
Middle Name:
Last Name:FORTU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3645 SAVIERS RD STE 7
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93033-1303
Mailing Address - Country:US
Mailing Address - Phone:805-385-0051
Mailing Address - Fax:
Practice Address - Street 1:3645 SAVIERS RD STE 7
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93033-1303
Practice Address - Country:US
Practice Address - Phone:805-385-0051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care