Nathan Daniel Ford
ActiveCalifornia license A122580
License
- Licensed by
- Medical Board of California
- License number
- A122580
- Status
- Active (Current)
- First issued
- August 22, 2012
- Expires
- May 31, 2028
- License holder
- Nathan Daniel Ford
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
1071 N Fairfax Ave
West Hollywood, CA 90046-6102
West Hollywood, CA 90046-6102
Los Angeles County