Smith, Jennifer Ann

Smith, Jennifer Ann is an individual health care provider with primary practice located at 1510 San Pablo Street , Los Angeles CA 90033-5320. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is her primary health care specialty. Smith, Jennifer Ann can be contacted via phone (323) 442-5910.

Contact Information

Primary practice address
1510 San Pablo Street Los Angeles CA 90033-5320
Phone: (323) 442-5910
Fax: (323) 442-6888
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A94579 California
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X A94579 California
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X A94579 California

Profile Details

NPI number 1922290519
LBN Legal business name Smith, Jennifer Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2007
Last updated Nov 26th, 2013 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922290519 NPPES
California MEDICAID 1922290519

Popular Providers