Individual
DR. JAMES C. TEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7700 MORRO RD, ATASCADERO, CA 93422-4435
(805) 466-6622
(805) 461-0361
Mailing address
7700 MORRO RD, ATASCADERO, CA 93422-4435
(805) 466-6622
(805) 461-0361
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A23826
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A238260
BLUE SHIELD OF CA PIN
CA
05
—
00A238260
—
CA
01
—
3578701011
CIGNA PIN
—
01
—
4315040
AETNA PIN
—
01
—
A23826
MEDICAL LICENSE #
CA
01
—
OUT003
BLUE CROSS HMO PIN
CA
Enumeration date
06/16/2005
Last updated
07/09/2007
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