Individual
GARY E FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
207Y00000X
Otolaryngology Physician
Primary
G36302
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G363020
—
CA
Enumeration date
05/10/2006
Last updated
08/02/2022
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