Organization
GARY C SMITH MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY SMITH M.D. (DIRECT OWNER)
(818) 888-7815
Entity
Organization
Contact information
Practice address
2300 WANKEL WAY, OXNARD, CA 93030-2665
(805) 485-1908
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G32926
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G32926
CA
Other
Enumeration date
07/11/2006
Last updated
03/23/2015
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