Individual
MR. CRAIG MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 EAST HARDY STREET, SUITE 210, INGLEWOOD, CA 90301-4504
(310) 673-4900
(310) 673-1319
Mailing address
501 EAST HARDY STREET, SUITE 210, INGLEWOOD, CA 90301-4504
(310) 673-4900
(310) 673-1319
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G68588
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0078930
MEDICAL GROUP NUMBER
CA
Enumeration date
09/28/2006
Last updated
11/30/2007
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