Individual
DR. NATHAN D FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 N LA CIENEGA BLVD STE 306, BEVERLY HILLS, CA 90211
(323) 430-8136
(323) 430-8149
Mailing address
99 N LA CIENEGA BLVD STE 306, BEVERLY HILLS, CA 90211-2285
(323) 430-8136
(323) 430-8149
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A122580
CA
Other
Enumeration date
08/09/2010
Last updated
01/22/2019
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