person
Mary Jo Ford, MD
Specialist in Hermosa Beach, California
NPI 1700951142

Mary Jo Ford is a Specialist based in Hermosa Beach, CA. Mary Jo Ford practices in Hermosa Beach, CA and has the professional credentials of MD. The NPI Number for Mary Jo Ford is 1700951142 and holds a License No. G73858 (California).

The current practice location address for Mary Jo Ford is 555 Pier Avenue, Hermosa Beach, CA and can be reached out via phone at 310-374-4100 and via fax at 310-374-4111.

Location: 555 Pier Avenue, Hermosa Beach, CA, 90254-3800
person
Provider Profile Details
NPI Number
1700951142
Provider Name
Mary Jo Ford
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
555 Pier Avenue, Hermosa Beach, CA, 90254-3800
Phone Number
310-374-4100
Fax Number
310-374-4111
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G738580 05 CA
institution
Provider Business Practice Location Address Details
Address
555 Pier Avenue
City
State
Zip
90254-3800
Phone Number
310-374-4100
Fax Number
310-374-4111
person
Provider Business Mailing Address Details
Address
555 Pier Avenue
City
State
Zip
90254-3800
Phone Number
310-374-4100
Fax Number
310-374-4111
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
G73858 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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