Individual
MR. CHADWYCKE RICHARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP, AGACNP-BC
Contact information
Practice address
1520 SAN PABLO ST STE 3800, LOS ANGELES, CA 90033-5328
(323) 442-5720
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5720
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95009361
CA
363LA2200X
Adult Health Nurse Practitioner
841328
NV
363LG0600X
Gerontology Nurse Practitioner
841328
NV
Other
Enumeration date
08/24/2018
Last updated
09/04/2024
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