Organization
LAKEWOOD FAMILY FOOT & ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANAEL SMITH D.P.M (CEO)
(626) 258-7487
Entity
Organization
Contact information
Practice address
5220 CLARK AVE STE 125, LAKEWOOD, CA 90712-2623
(562) 804-1381
(562) 925-8898
Mailing address
5220 CLARK AVE STE 125, LAKEWOOD, CA 90712-2623
(562) 804-1381
(562) 925-8898
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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