Organization
GARY E FORD M.D.,(A PROFESSIONAL CORPORATION)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY EUGENE FORD M.D. (PRESIDENT)
(310) 382-8633
Entity
Organization
Contact information
Practice address
1045 W REDONDO BEACH BLVD, SUITE 575, GARDENA, CA 90249-4128
(310) 329-8633
(408) 418-4605
Mailing address
1045 W REDONDO BEACH BLVD, SUITE 575, GARDENA, CA 90249-4128
(310) 329-8633
(310) 329-8636
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G36302
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G363021
—
CA
01
—
G36302
STATE LICENSE
CA
Enumeration date
01/03/2008
Last updated
07/03/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us