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ROBERTA J SMITH M D A MEDICAL CORPORATION NPI 1609191105


NPI Information

NPI: 1609191105
Provider Name: ROBERTA J SMITH M D A MEDICAL CORPORATION
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
970 MONUMENT ST STE 210
PACIFIC PALISADES, CA
ZIP 90272
Phone: (310) 459-4321
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ROBERTA J SMITH M D A MEDICAL CORPORATION is a nephrology internal medicine in Pacific Palisades, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. ROBERTA J SMITH M D A MEDICAL CORPORATION NPI is 1609191105. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

970 MONUMENT ST STE 210
PACIFIC PALISADES, CA
ZIP 90272-891
Phone: (310) 459-4321
Fax: (310) 459-5436

The provider's authorized official is Monica M Wenzel .
The authorized official title is Biller and has the following contact phone number (310) 915-9154.

The enumeration date for this NPI number is 3/29/2010 and was last updated on 5/25/2010.


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
1207RN0300XInternal MedicineNephrologyG17205CALIFORNIAYes

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: 11/14/2023

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