MEDICARE: MADISON TAPIA FORD MD

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1356043855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON TAPIA FORD MD

Provider Business Mailing Address
First Line	:	450 E SPRING ST STE 1
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1625
Country	:	US
Telephone Number	:	562-933-0050
Fax Number	:	562-933-0079

Provider Business Practice Location Address
First Line	:	450 E SPRING ST STE 1
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1625
Country	:	US
Telephone Number	:	562-933-0050
Fax Number	:	562-933-0079

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

Provider Enumeration Date	:	03/20/2023
Last Update Date	:	01/21/2026

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Directions to “ MADISON TAPIA FORD MD” Practice Location

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