Healthcare Provider Details

I. General information

NPI: 1174020689
Provider Name (Legal Business Name): MICHAEL F WARD II DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2018
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E CALIFORNIA BLVD
PASADENA CA
91105-3205
US

IV. Provider business mailing address

13971 DITTMAR DR
WHITTIER CA
90605-2411
US

V. Phone/Fax

Practice location:
  • Phone: 570-271-6531
  • Fax: 727-436-3257
Mailing address:
  • Phone: 562-713-3501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number19894
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number20A19894
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: