Individual
DR. JENNIFER ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1510 SAN PABLO STREET, LOS ANGELES, CA 90033-5320
(323) 442-5910
(323) 442-6888
Mailing address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 222-2700
(310) 533-1841
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A94579
CA
2086S0102X
Surgical Critical Care Physician
Primary
A94579
CA
2086S0127X
Trauma Surgery Physician
A94579
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922290519
—
CA
Enumeration date
08/16/2007
Last updated
11/26/2013
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