Individual
RALPH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
907 PICO BLVD, SANTA MONICA, CA 90405-1326
(310) 314-6200
Mailing address
11692 CHENAULT ST APT 303, LOS ANGELES, CA 90049-4542
(808) 896-4070
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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