Individual
DR. KENT W SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 N CENTRAL AVE STE 115, GLENDALE, CA 91203-3138
(818) 552-5040
(818) 552-5044
Mailing address
501 NORTH ORANGE STREET, SUITE 250, GLENDALE, CA 91203-1971
(818) 552-5040
(818) 552-5044
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A53173
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
A53173
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ75843Z
—
CA
Enumeration date
01/03/2006
Last updated
04/12/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us