Individual
DR. DONALD SMILOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1334 MARSH ST, SAN LUIS OBISPO, CA 93401-3316
(805) 543-2724
(805) 543-5270
Mailing address
PO BOX 14210, SAN LUIS OBISPO, CA 93406-4210
(805) 543-2724
(805) 543-5270
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G17709
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G177090
—
CA
01
—
BLUE SHIELD
BLUE SHIELD
CA
Enumeration date
07/25/2006
Last updated
05/10/2026
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