Smalberg, Ira

Smalberg, Ira is an individual health care provider with primary practice located at 2202 Wilshire Blvd , Santa Monica CA 90403-5706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Smalberg, Ira can be contacted via phone (310) 264-9000.

Contact Information

Primary practice address
2202 Wilshire Blvd Santa Monica CA 90403-5706
Fax: (310) 264-9004
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G83934 California

Profile Details

NPI number 1952356255
LBN Legal business name Smalberg, Ira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Nov 30th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952356255 NPPES
California MEDICAID 00G839340
California Other 00G839340

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