Individual
DR. STEWART FORDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 W OLYMPIC BLVD, LOS ANGELES, CA 90015-1329
(213) 623-2225
Mailing address
2121 GLENDON AVE, LOS ANGELES, CA 90025-6325
(310) 474-0392
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G21738
CA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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