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General NPI Number Information
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NPI Number | 1922775030
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Entity Type | Organization
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Legal Business Name | MICHAEL JOHN FORD MD INC.
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 08/26/2021
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Provider Practice Location Address
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Address Line | 16543 CARMENITA RD
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City | CERRITOS
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State | CA
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Zip | 90703-2218
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Country | US
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Telephone | 562-219-7251
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Fax | 562-219-7252
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Provider Business Mailing Address
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Address Line | PO BOX 25033
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City | SANTA ANA
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State | CA
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Zip | 92799-5033
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Country | US
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Telephone | 714-347-1000
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Fax | 714-647-1243
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL FORD
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Credential | MD
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Telephone | 310-938-4684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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