Organization
CRAIG V SMITH M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG V SMITH M D (CEO)
(323) 667-0660
Entity
Organization
Contact information
Practice address
866 N VERMONT AVE, 3, LOS ANGELES, CA 90029-3587
(323) 667-0660
(323) 660-7027
Mailing address
866 N VERMONT AVE, 3, LOS ANGELES, CA 90029-3587
(323) 667-0660
(323) 660-7027
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G61164
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G61164
MEDICAL CERTIFICATE
CA
Enumeration date
08/16/2007
Last updated
08/16/2007
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