Organization
ANDRES SMITH M.D. A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES SMITH MD (PRESIDENT)
(619) 737-7511
Entity
Organization
Contact information
Practice address
7227 BROADWAY STE 405, LEMON GROVE, CA 91945-1505
(619) 253-6451
Mailing address
7227 BROADWAY STE 405, LEMON GROVE, CA 91945-1505
(619) 253-6451
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/13/2020
Last updated
01/22/2024
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