Mary Jo Ford is a Specialist in Hermosa Beach, California. Mary Jo Ford practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mary Jo Ford is 1700951142. The last update date is 2007-11-09.
Mary Jo Ford's current location address is 555 Pier Avenue, Hermosa Beach, California. You can contact this provider via phone number 3103744100 and fax number 3103744111. The mailing address for Mary Jo Ford is 555 Pier Avenue, Hermosa Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jo Ford |
|---|---|
| Address | 555 Pier Avenue, Hermosa Beach, California |
| Phone Number | 3103744100 |
| Fax Number | 3103744111 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1700951142 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2007-11-09 |
Provider Mailing Address Detail
| Address | 555 Pier Avenue |
|---|---|
| City | Hermosa Beach |
| State | California (CA) |
| Post Code | 902543800 |
| Phone Number | 3103744100 |
| Fax Number | 3103744111 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G73858 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G738580 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary Jo Ford by the Centers for Medicare & Medicaid Services?
The Mary Jo Ford has been issued the NPI (National Provider Identifier) 1700951142 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Mary Jo Ford is geographically located?
The Mary Jo Ford is physically situated at the following location: 555 Pier Avenue, Hermosa Beach, CA, 902543800.
What is Mary Jo Ford's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Jo Ford's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700951142 to Mary Jo Ford?
The Centers for Medicare & Medicaid Services assigned the 1700951142 to Mary Jo Ford on 2006-11-21.
As of what date was the information pertaining to Mary Jo Ford, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary Jo Ford, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-09.