Provider Demographics
NPI:1174020689
Name:WARD, MICHAEL F II (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:F
Last Name:WARD
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:13971 DITTMAR DR
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90605-2411
Mailing Address - Country:US
Mailing Address - Phone:562-713-3501
Mailing Address - Fax:
Practice Address - Street 1:100 E CALIFORNIA BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3205
Practice Address - Country:US
Practice Address - Phone:570-271-6531
Practice Address - Fax:727-436-3257
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A19894207W00000X
390200000X
CA19894207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program