Individual
DR. JUDITH M FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, #B265, LOS ANGELES, CA 90095
(310) 825-0128
(310) 794-9795
Mailing address
FILE 2939, LOS ANGELES, CA 90074-2939
(310) 301-8709
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A64433
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A644330
—
CA
Enumeration date
07/10/2006
Last updated
06/12/2008
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