Organization
NATHAN D. FORD MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS ESCOBEDO (ADMINISTRATOR)
(323) 838-8075
Entity
Organization
Contact information
Practice address
4601 WILSHIRE BLVD, 3RD FLOOR, LOS ANGELES, CA 90010-3880
(323) 556-3470
Mailing address
4916 WHITTIER BLVD, LOS ANGELES, CA 90022-3115
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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