Organization Name: | RICHARD C. SMITH, M.D. A PROFESSIONAL CORPORATION |
NPI Number: | 1720126089 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD CHARLES SMITH (PRES.) |
Mailing Address: | 1350 W 6th St Suite 2 San Pedro |
State: | CA US |
Postal Code: | 907323544 |
Phone Number: | 3108332428 |
Fax Number: | 3108337850 |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 12/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | C31822 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |