Individual
DR. NATHANAEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
5220 CLARK AVE STE 125, LAKEWOOD, CA 90712-2623
(562) 804-1381
(562) 925-8898
Mailing address
1440 N CAMBRIDGE AVE, UPLAND, CA 91786-2677
(626) 258-7487
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5486
CA
Other
Enumeration date
05/25/2016
Last updated
09/20/2023
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