MARY JO FORD MD NPI 1700951142

NPI Information

NPI: 1700951142
Provider Name: MARY JO FORD, MD
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
555 PIER AVENUE
SUITE 1
HERMOSA BEACH, CA
ZIP 90254
Phone: (310) 374-4100
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Mary Jo Ford, MD is a specialist in Hermosa Beach, CA. The provider is 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. Mary Jo Ford, MD NPI is 1700951142. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

555 PIER AVENUE
SUITE 1
HERMOSA BEACH, CA
ZIP 90254-800
Phone: (310) 374-4100
Fax: (310) 374-4111

The enumeration date for this NPI number is 11/21/2006 and was last updated on 11/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		G73858	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	E95002	MEDICARE UPIN	CALIFORNIA
2	WG73858M	MEDICARE UPIN	CALIFORNIA
3	00G738580	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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