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Individual

MALCOLM IAIN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 MEDICAL PLAZA, #365,530,420,120, LOS ANGELES, CA 90095
(310) 449-0939
(310) 449-0977
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5632
(310) 449-0939
(310) 449-0977

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G77343
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G77343
CA
207RP1001X
Pulmonary Disease Physician
Primary
G77343
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G773430
CA
Enumeration date
07/20/2006
Last updated
02/17/2010
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