Individual
DENISE NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4455 W 117TH STREET SUITE 200, HAWTHORNE, CA 90250-2241
(310) 674-9010
(310) 973-2445
Mailing address
4161 REDONDO BEACH BLVD, SUITE 201, LAWNDALE, CA 90260-3306
(310) 214-8677
(310) 921-1718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A83462
CA
Other
Enumeration date
05/15/2007
Last updated
02/10/2010
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