Individual
BOBBY LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
4147 BETA ST, SAN DIEGO, CA 92113-4108
(619) 666-1450
Mailing address
4147 BETA ST, SAN DIEGO, CA 92113-4108
(619) 666-1450
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
E2408875
CA
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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