Individual
DAVID FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39875 ALTA MURRIETA DR STE E1, MURRIETA, CA 92563-5445
(951) 296-1177
(951) 296-1177
Mailing address
39875 ALTA MURRIETA DR STE E1, MURRIETA, CA 92563-5445
(951) 296-1177
(951) 296-1177
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
8630
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063630614
MEDI-CAL / IEHP
CA
Enumeration date
01/05/2022
Last updated
01/05/2022
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