Organization
SAMUEL J. SMITH,M.D,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL J SMITH M.D. (PRESIDENT)
(310) 659-3251
Entity
Organization
Contact information
Practice address
8641 WILSHIRE BLVD, STE 220, BEVERLY HILLS, CA 90211-2900
(310) 659-3258
Mailing address
8641 WILSHIRE BLVD, STE 220, BEVERLY HILLS, CA 90211-2900
(310) 659-3258
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G13861
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G138610
—
CA
Enumeration date
01/23/2008
Last updated
07/22/2008
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