Smith, David J
Smith, David J is an sole proprietor health care provider with primary practice located at 3703 Camino Del Rio S 210, San Diego CA 92108-4031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Smith, David J can be contacted via phone (619) 640-5555.Contact Information
Primary practice address
3703 Camino Del Rio S 210
San Diego CA 92108-4031
Phone: (619) 640-5555
Fax: (619) 640-5550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | GG599Z | California |
Profile Details
| NPI number | 1811930357 |
|---|---|
| LBN Legal business name | Smith, David J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Mar 9th, 2021 - about 3 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 | 1811930357 | NPPES |
| California | MEDICAID | 00G667770 |
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