Organization · Type 2 NPI
Mary Jo Ford MD Inc
Specialist · Hermosa Beach, CA
NPI number
1124194576
Active
Practice location
555 Pier Avenue, Suite 1
Hermosa Beach, CA 90254-3800
Fax (310) 374-4111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | G73858 (CA) |
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.
Another provider at this address
Other specialist providers in Hermosa Beach
About NPI 1124194576
Mary Jo Ford MD Inc's National Provider Identifier is 1124194576, issued on Nov 28, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hermosa Beach, CA. The record was last updated on May 29, 2013.