Ford Brewer, Md, INC

NPI #1609151638 in Venice, California

Provider Information

NPI Number: 1609151638
Entity Type: Organization
Organization Name: Ford Brewer, Md, INC
Subpart: Yes (part of a larger organization)
Parent Organization: CHS HEALTH SERVICES
Primary Specialty: General Practice
Enumeration Date: Oct 21, 2011
Last Updated: Aug 16, 2016

Practice Location

Address: 640 MAIN ST
City: Venice
State: California
ZIP Code: 90291-2524
Phone: (650) 214-6369

Authorized Official

Name: STUART CLARK
Title: EXECUTIVE VP
Phone: (703) 760-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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