Individual
JONATHAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16730 BERNARDO CENTER DR, SAN DIEGO, CA 92128-5510
(858) 676-1166
(858) 676-1172
Mailing address
16730 BERNARDO CENTER DR, SAN DIEGO, CA 92128-5510
(858) 676-1166
(858) 676-1172
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A33287
CA
Other
Enumeration date
08/15/2014
Last updated
05/03/2026
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