Individual
CLYDE W SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-1550
Mailing address
4104 BOUTON DR, LAKEWOOD, CA 90712-3805
(562) 429-7353
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
G19005
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G19005
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G190050
—
CA
Enumeration date
11/19/2005
Last updated
09/11/2025
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