Fortes, Blake Hugo
Fortes, Blake Hugo is an individual health care provider with primary practice located at 100 Stein Plz Fl 1 , Los Angeles CA 90095-0001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Fortes, Blake Hugo can be contacted via phone (310) 825-3090.Contact Information
Primary practice address
100 Stein Plz Fl 1
Los Angeles CA 90095-0001
Phone: (310) 825-3090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 67739 | Minnesota |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | A185112 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 30022 | Minnesota |
Profile Details
| NPI number | 1235699323 |
|---|---|
| LBN Legal business name | Fortes, Blake Hugo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2019 |
| Last updated | Jan 8th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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