MEDICARE: LA DONNA D 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	207L00000X	Anesthesiology Physician	C7270	AR
2	207L00000X	Anesthesiology Physician	A052943	CA
3	207L00000X	Anesthesiology Physician	K9270	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477996072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LA DONNA D FORD M.D.

Provider Business Mailing Address
First Line	:	512 BARBADOS LN
Second Line	:
City	:	FOSTER CITY
State	:	CA
Zip	:	94404-3972
Country	:	US
Telephone Number	:	650-341-1918
Fax Number	:

Provider Business Practice Location Address
First Line	:	512 BARBADOS LN
Second Line	:
City	:	FOSTER CITY
State	:	CA
Zip	:	94404-3972
Country	:	US
Telephone Number	:	650-341-1918
Fax Number	:

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

Provider Enumeration Date	:	04/12/2013
Last Update Date	:	04/12/2013

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Directions to “ LA DONNA D FORD M.D.” Practice Location

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