Individual
DR. JANELLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15374 ALTON PKWY, IRVINE, CA 92618-2362
(949) 585-0205
(949) 585-9121
Mailing address
C340 MEDICAL SCIENCES I, DEPT OF DERMATOLOGY UC IRVINE, IRVINE, CA 92697-2400
(949) 824-5515
(949) 824-7454
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C50079
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C500790
—
CA
Enumeration date
05/15/2006
Last updated
08/21/2007
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