Individual
ROBINA MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2151 N HARBOR BLVD, SUITE 3100, FULLERTON, CA 92835-3820
(714) 446-5296
(714) 446-5240
Mailing address
279 IMPERIAL HWY, SUITE 730, FULLERTON, CA 92835-1041
(714) 449-4800
(714) 449-4956
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A100730
CA
2086X0206X
Surgical Oncology Physician
Primary
A100730
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1007300
—
CA
01
—
A100730
CA MEDICAL LICENSE
CA
Enumeration date
07/24/2007
Last updated
04/26/2013
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