Individual
GARRETT RYAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
1428 VIA GALICIA, PLS VRDS EST, CA 90274-2865
(310) 719-5265
Mailing address
1428 VIA GALICIA, PLS VRDS EST, CA 90274-2865
(310) 719-5265
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02410076
UNITED STATES DEPARTMENT HEALTH AND HUMAN SERVICES
CA
Enumeration date
09/05/2024
Last updated
09/05/2024
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