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Individual

MR. TARICK KAMAL SMILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9025 WILSHIRE BLVD STE #411, BEVERLY HILLS, CA 90211
(310) 275-1662
(310) 275-1652
Mailing address
9025 WILSHIRE BLVD STE #411, BEVERLY HILLS, CA 90211
(310) 275-1662
(310) 275-1652

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A75774
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A75774
UPIN
CA
Enumeration date
02/08/2008
Last updated
05/19/2022
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