Individual
MARK A. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8000
(855) 211-3729
Mailing address
1100 N PALM CANYON DR, SUITE 211, PALM SPRINGS, CA 92262-4414
(760) 320-9019
(760) 320-9685
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
00G470110
CA
2086S0129X
Vascular Surgery Physician
Primary
G47011
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G470110
—
CA
Enumeration date
09/25/2006
Last updated
06/09/2025
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