Healthcare Provider Details

I. General information

NPI: 1760119382
Provider Name (Legal Business Name): NADINE KIM FORD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2022
Last Update Date: 08/03/2022
Certification Date: 08/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3939 ATLANTIC AVE STE 102
LONG BEACH CA
90807-3535
US

IV. Provider business mailing address

3939 ATLANTIC AVE STE 102
LONG BEACH CA
90807-3535
US

V. Phone/Fax

Practice location:
  • Phone: 562-471-7710
  • Fax:
Mailing address:
  • Phone: 562-471-7710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: