Smith, Dallas Edward
Smith, Dallas Edward is an individual health care provider with primary practice located at 4929 Van Nuys Blvd , Sherman Oaks CA 91403-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Smith, Dallas Edward can be contacted via phone (818) 907-4570.Contact Information
Primary practice address
4929 Van Nuys Blvd
Sherman Oaks CA 91403-1702
Phone: (818) 907-4570
Fax: (818) 907-2814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G74769 | California |
Profile Details
| NPI number | 1326080565 |
|---|---|
| LBN Legal business name | Smith, Dallas Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jun 13th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326080565 | NPPES |
| California | MEDICAID | 00G747690 |
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