Organization
GOLDEN EAR MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY EUGENE FORD MD (MEDICAL DIRECTOR)
(310) 329-8633
Entity
Organization
Contact information
Practice address
1045 W REDONDO BEACH BLVD, SUITE 575, GARDENA, CA 90247-4128
(310) 329-8633
(310) 329-8636
Mailing address
1045 W REDONDO BEACH BLVD, SUITE 575, GARDENA, CA 90247-4128
(310) 329-8633
(310) 329-8636
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G36302
CA
Other
Enumeration date
07/15/2006
Last updated
02/12/2020
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