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Organization
FORD WELLNESS CENTER
Active
Organization
FORD WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN D FORD M.D. (OWNER)
(310) 780-7594
Entity
Organization
Contact information
Practice address
7901 SANTA MONICA BLVD, STE 209, WEST HOLLYWOOD, CA 90046-5177
(844) 392-7844
(844) 392-7844
Mailing address
7901 SANTA MONICA BLVD, SUITE #208, W HOLLYWOOD, CA 90046-5177
(844) 392-7844
(323) 952-6844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A122580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A122580
LICENSE
CA
Enumeration date
02/07/2014
Last updated
07/08/2016
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