Mary Jo Ford MD INC

NPI #1124194576 in Hermosa Beach, California

Provider Information

NPI Number: 1124194576
Entity Type: Organization
Organization Name: Mary Jo Ford MD INC
Primary Specialty: Specialist
Enumeration Date: Nov 28, 2006
Last Updated: May 29, 2013

Practice Location

Address: 555 PIER AVENUE
Address 2: SUITE 1
City: Hermosa Beach
State: California
ZIP Code: 90254-3800
Phone: (310) 374-4100

Authorized Official

Name: MARY JO FORD, MD
Title: PRESIDENT
Phone: (310) 374-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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