Individual
DIANNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
10884 SANTA MONICA BLVD FL 3, LOS ANGELES, CA 90025-7638
(310) 446-4400
(310) 446-4408
Mailing address
6640 KENTWOOD BLUFFS DR, LOS ANGELES, CA 90045-1259
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
841765
CA
363L00000X
Nurse Practitioner
Primary
95005439
CA
Other
Enumeration date
12/21/2016
Last updated
04/11/2018
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