# FORD WELLNESS CENTER, A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FORD WELLNESS CENTER, A MEDICAL CORPORATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184081309
- **Legal business name:** FORD WELLNESS CENTER, A MEDICAL CORPORATION
- **Authorized official:** NATHAN FORD M.D. (OWNER)
- **Authorized official phone:** (844) 392-7844

## Contact information

- **Practice address:** 7901 SANTA MONICA BLVD, SUITE 209, WEST HOLLYWOOD, CA 90046-5177
- **Practice address phone:** (844) 392-7844
- **Practice address fax:** (888) 431-8819
- **Mailing address:** 2980 N BEVERLY GLEN CIR, SUITE 100, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 943-4180
- **Mailing address fax:** (888) 431-8819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | A122580 | CA | Yes |

## Other

- **Enumeration date:** 01/19/2016
- **Last updated:** 01/19/2016