Individual
DELANEY EDWARD SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 S GRAND AVE, LOS ANGELES, CA 90015-3010
(310) 301-2030
Mailing address
1700 E WALNUT AVE, #250, EL SEGUNDO, CA 90245-2605
(310) 301-2030
(310) 306-5247
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
G40381
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G403810
—
CA
Enumeration date
01/08/2007
Last updated
10/14/2009
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