Individual
BRIANNA PIVO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1880 STEINER ST APT 312, SAN FRANCISCO, CA 94115-3184
(714) 788-2024
Mailing address
1880 STEINER ST APT 312, SAN FRANCISCO, CA 94115-3184
(714) 788-2024
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60267
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1187894
PA CERTIFICATION
CA
01
—
PA60267
CALIFORNIA PHYSICIAN ASSISTANT LICENSE
CA
Enumeration date
10/21/2021
Last updated
04/07/2023
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