Kelly E Fordyce MD a Medical Corporation

NPI #1831772417 in Ladera Ranch, California

Provider Information

NPI Number: 1831772417
Entity Type: Organization
Organization Name: Kelly E Fordyce MD a Medical Corporation
Primary Specialty: Internal Medicine
Enumeration Date: May 3, 2021
Last Updated: Jun 1, 2021

Practice Location

Address: 777 CORPORATE DR STE 140
City: Ladera Ranch
State: California
ZIP Code: 92694-2136
Phone: (949) 409-4868

Authorized Official

Name: KELLY E FORDYCE, MD
Title: OWNER
Phone: (949) 573-8335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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