Individual
JONATHAN SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 THE CITY DRIVE SOUTH, ROUTE 128-01, DEPARTMENT OF EMERGENCY MEDICINE, ORANGE,, CA 92868
(318) 805-4231
Mailing address
101 THE CITY DRIVE SOUTH, ROUTE 128-01, DEPARTMENT OF EMERGENCY MEDICINE, ORANGE,, CA 92868
(318) 805-4231
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
163213
CA
Other
Enumeration date
05/05/2016
Last updated
08/16/2019
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