| Doctor Name: | JAMES ERNEST SMITH |
| NPI Number: | 1205867116 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A.-C |
| License Number: | PA16559 |
| Business Practice Address: | 29991 Canyon Hills Rd Suite 1709-209 Lake Elsinore, CA - 925322578 |
| Business Phone Number: | 9098961990 |
| Business Fax Number: | |
| Mailing Address: | 29991 Canyon Hills Rd, Suite 1709-209 LAKE ELSINORE |
| State: | CA |
| Postal Code: | 925322578 |
| Phone Number: | 9098961990 |
| Fax Number: | |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 02/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA16559 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |