KYLE BLAKE FORDHAM

LOMA LINDA, CA
NPI1972244929
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A189549)
Enumeration Date2022-04-05
Last Update Date2024-10-16
Business Address
Dr. KYLE BLAKE FORDHAM MD
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4174
Mailing Address
Dr. KYLE BLAKE FORDHAM MD
185 N PLYMOUTH WAY
SAN BERNARDINO, CA 92408-4121
Phone number: 385-329-1515