NPI 1073918033

Smith Medical Management

Organisation Exclusive Provider Organization Los Angeles, CA

Practice location

Address: 2953 S Palm Grove Ave, Los Angeles, CA 90016-3519
Phone: (213) 364-1263
Mailing address: 2953 Palm Grove Ave, Los Angeles, CA 90016

Authorised official

Name: Elda M Pineda
Title: President
Phone: (213) 364-1263

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence A122580 (CA)

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Registry record

NPI: 1073918033
Entity type: Organization
NPI issued: 3 Nov 2014
Record last updated: 3 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.