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RICHARD C. SMITH M.D. A PROFESSIONAL CORPORATION NPI 1720126089


NPI Information

NPI: 1720126089
Provider Name: RICHARD C. SMITH, M.D. A PROFESSIONAL CORPORATION
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1350 W 6TH ST
SUITE 2
SAN PEDRO, CA
ZIP 90732
Phone: (310) 833-2428
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RICHARD C. SMITH, M.D. A PROFESSIONAL CORPORATION is a specialist in San Pedro, CA. The provider is 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. RICHARD C. SMITH, M.D. A PROFESSIONAL CORPORATION NPI is 1720126089. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1350 W 6TH ST
SUITE 2
SAN PEDRO, CA
ZIP 90732-544
Phone: (310) 833-2428
Fax: (310) 833-7850

The provider's authorized official is Richard Charles Smith .
The authorized official title is Pres. and has the following contact phone number (310) 833-2428.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 12/11/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistC31822CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A34720MEDICARE UPINCALIFORNIA
200C318220MEDICAIDCALIFORNIA
3W20378MEDICARE PINCALIFORNIA
4WC31822BOTHERCALIFORNIAMEDICARE PPIN
5A34720MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
67993517MEDICAIDCALIFORNIA
7C31822OTHERCALIFORNIALICENSE
81801857453OTHERCALIFORNIAINDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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