Individual
DR. RICK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7150 TAMPA AVE, RESEDA, CA 91335-3700
(818) 757-4447
Mailing address
13504 CHELTENHAM DR, SHERMAN OAKS, CA 91423-4818
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A048473
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A04873
CA LICENSE #
CA
01
—
WA48473C
PPIN # 1
CA
01
—
WA48473E
PPIN #2
CA
Enumeration date
07/06/2006
Last updated
03/07/2023
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