Individual
JOHN PHILIP SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14911 NATIONAL AVE, #1, LOS GATOS, CA 95032-2632
(408) 358-3448
(408) 356-4628
Mailing address
14911 NATIONAL AVE, #1, LOS GATOS, CA 95032-2632
(408) 358-3448
(408) 356-4628
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G415470
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0600002672
RAILROAD MEDICARE
CA
05
—
GR0082830
—
CA
Enumeration date
09/13/2005
Last updated
11/02/2011
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