Smith, Audrey Lene

Smith, Audrey Lene is an sole proprietor health care provider with primary practice located at 10300 Compton Ave , Los Angeles CA 90002-3628. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Smith, Audrey Lene can be contacted via phone (323) 357-6628.

Contact Information

Primary practice address
10300 Compton Ave Los Angeles CA 90002-3628
Phone: (323) 357-6628
Fax: (323) 569-0849
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X R465231 California
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 465231 California
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X R465231 California
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X R465231 California

Profile Details

NPI number 1417361551
LBN Legal business name Smith, Audrey Lene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2014
Last updated Jun 17th, 2014 - about 11 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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