MEDICARE: DR. CHRISTINA M FORD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	235989	MA
2	2084P0800X	Psychiatry Physician	A111264	CA

General Provider Information

NPI Number	:	1043389943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA M FORD M.D.

Provider Business Mailing Address
First Line	:	11777 SAN VICENTE BLVD
Second Line	:	#703
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-5011
Country	:	US
Telephone Number	:	310-795-7921
Fax Number	:

Provider Business Practice Location Address
First Line	:	11777 SAN VICENTE BLVD
Second Line	:	#703
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-5011
Country	:	US
Telephone Number	:	310-795-7921
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	04/11/2012

Similar Medicare Providers

1063401719 — DR. KELLY MUI O.D.
Practice Location Address:

11777 SAN VICENTE BLVD , SUITE 130
LOS ANGELES, CA
90049-5011

Practice Phone: 310-820-2020
Practice Fax:

1730126509 — DR. LEONARD WILLIAM KRAM M.D.
Practice Location Address:

11777 SAN VICENTE BLVD , #703
LOS ANGELES, CA
90049-5011

Practice Phone: 310-444-0188
Practice Fax: 310-444-0199

1609959733 — DR. MIMI JOY CURTIS PHD
Practice Location Address:

11777 SAN VICENTE BLVD , SUITE 703
LOS ANGELES, CA
90049-5011

Practice Phone: 310-204-8600
Practice Fax: 310-440-0015

1457681371 — PAUL J SUPER OD A PROFESSIONAL CORPORATION
Practice Location Address:

11777 SAN VICENTE BLVD , #130
LOS ANGELES, CA
90049-5011

Practice Phone: 310-820-2020
Practice Fax: 310-820-1884

1255604146 — LINDSAY GAIL ALPERT M.A.
Practice Location Address:

11777 SAN VICENTE BLVD , SUITE 703
LOS ANGELES, CA
90049-5011

Practice Phone: 310-804-8858
Practice Fax:

1366700924 — CHRISTINA M FORD, MD
Practice Location Address:

11777 SAN VICENTE BLVD , #703
LOS ANGELES, CA
90049-5011

Practice Phone: 310-795-7921
Practice Fax: 310-826-7780

Directions to “ DR. CHRISTINA M FORD M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.