Individual
MR. JOSHUA MARK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
769 W BLAINE ST STE B, RIVERSIDE, CA 92507-3970
(951) 358-4705
(951) 358-4719
Mailing address
769 W BLAINE ST STE B, RIVERSIDE, CA 92507-3970
(951) 358-4705
(951) 358-4719
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
12/27/2012
Last updated
11/20/2025
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